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TWENTY-SK(X)Nl)  ANNUAL  l(EfQt^T> 


State  Board  of  IIhalth, 


STATE  OF  RHODE  ISLAND, 


The  Tkar  e:nding  December  31,  1809, 


AND    INCLUDING 
THE    REPORT    UPON    THE    REGISTRATION    OF 


BIRTHS,  MARRIAGES,  AND  DEATHS  IN  1898. 


P  liOYl  I)  E  N  c;  E  ,     1{ .    I  . 

E.    L.    FKEEMAN    &    SONS,    STATE    PRINTERS. 

1903. 


MEMBERS 


Rhode  Island  State  Board  of  Health, 


Post  Ofice  Address. 

ALBERT    G.   SPRAGUB,   M.  D.,    President River  Point  Kent  County. 

SAMUEL    M.   GRAY,   C.  B Providence Providence  Countt. 

JOHN    C.  BUDLONG,   M.  D Pkovidence Providence  County. 

REV.    GEORGE    L.   LOCKE Bristol Bristol  County. 

ALEXANDER    B.   BRIGGS,   M.  D Ashawat Washington  County. 

RUPUS    E.   DARRAH,   M.  D Newport Newport  County. 

GARDNER   T.   SWARTS,   M.  D     ■ Providence Pkovidence  County. 


GARDNER   T.  SWARTS,  Secretary. 


O 

r— t 


To  the  Honorable  the  General  Assembly  : 

lu  compliance  with,  the  General  Laws,  tlie  Amiual  Report  of 
the  State  Board  of  Health  is  hereby  respectfully  submitted. 

Gaedner  T.  Swarts, 

Secretary. 


23  349275 

CO 


GENERAL  CONTENTS. 


General  Report. 

Report  of  the  Secretary. 

Reports  op  Town  Clerks  in  relation  to  Sanitary  Im- 
provements IN  the  Towns. 

Reports  of  the  Health  Officers. 

Water  Supplies. 

Meteorology. 

Births,  Deaths,  and  Marriages. 

Report  of  Contagious  Diseases. 

Results  of  Examination  of  Sputum  from  Suspected 
Cases  of  Tuberculosis. 

Records  of  All  Cases  of  Consumption  in  the  State. 

Outbreak  of  Typhoid  Fever  in  Woonsocket. 

Improvement  in  the  Water  Supply  of  the  East  Prov- 
idence Water  Company. 

Addition  to  the  Laws  governing  the  Registration  op 
Births,  Marriages,  and  Deaths. 

Working  of  the  Medical  Practice  Act. 

Appendix. 

A  Report  of  a  Four  Months'  Test  of  a  Mechanical 
Filter  Plant  at  East  Providence,  R.  I. 

Methods  of  Compilation  used  in  preparing  Census  and 
Registration  Reports. 

General  Laws  op  the  State  Board  of  Health. 

General  Laws  of  Medical  Examiners  and  Coroners. 

Index. 


GENERAL  REPORT. 


The  work  of  the  State  Board  of  Health  during-  the  yeixr  has 
been  a  continuation  of  study  of  the  various  conditions  pertaining- 
to  the  public  health,  especial  use  being-  made  of  the  more  recent 
methods  of  diag-nosis  and  iuvestig-ation  which  have  been  made 
available  during-  the  past  few  years. 

CONTAGIOUS  DISEASES. 

Monthly  reports  of  the  number  of  cases  of  communicable  dis- 
eases which  have  occurred  in  the  various  townis,  including-  scarlet 
fever,  diphtheria,  and  typhoid  fever,  have  been  continued.  This 
makes  it  i)ossible  for  comparison  of  the  comparative  prevalence  of 
any  of  these  diseases  in  any  of  the  towns  or  throughout  the  State. 
These  records  were  begun  in  the  year  1894,  and  thus  comparison 
of  increase  or  decrease  may  be  made.  The  local  health  authori- 
ties are  yearly  giving  more  intelligent  attention  to  this  class  of 
work,  and  the  control  of  these  diseases  has  been  more  thoroughly 
systematized. 

WATER  SUPPLIES. 

There  has  been  no  change  in  the  system  of  water  supplies  of 
the  State  since  the  previous  report.  An  improvement  in  one  of 
the  sources  of  supply  has  been  made  as  a  result  of  the  work  of  the 
board  during  the  previous  year. 

The  city  of  Providence  continues  to  receive  its  supply  from  the 
Pawtuxet  river,  the  intake  being  located  at  the  P^ttaconset  pump- 
iug-stati<Mi.  The  gross  contaminations  which  existed  along  the 
banks  of  this  river  years  ago  have  been  removed.     A'aults  and 


2  STATE    BOARD    OF   HEALTH.  [1899. 

cesspool  wastes  are  prevented  from  entering-  the  stream.  There 
still  exists  the  possibility  of  a  new  contamination  being-  estab- 
lished at  any  time  by  the  location  of  a  drain,  or  stable,  or  barn- 
yard, which  may  contribute  to  the  surface  flow  any  detritus  that 
may  accumulate.  Surface  flow  from  streets  and  from  fertilized 
farm  lands  continues  to  flow  into  the  river.  It  is  assumed  that 
dye-stufl's  and  refuse  wastes  from  manufactories  do  not  find  their 
way  into  the  river,  at  least  without  a  gross  form  of  filtration, 
which  removes  some  of  the  color  and  organic  matter.  Owing  to 
the  ineflicient  and  unsatisfactory  means  of  filtration  in  these  cases, 
it  becomes  necessary  to  allow  the  wastes  to  run  free  into  the 
stream.  Bathing  in  the  stream  is  not  prohibited,  and  is  made  use 
of  freely  during  the  summer  months  by  the  operatives  residing 
along-  the  stream.  On  aesthetic  grounds,  permission  for  bathing  in 
the  storage  reservoirs  is  not  given.  The  greatest  danger  which 
might  occur  from  such  a  case  would  occur  only  when  a  person  who 
was  convalescing  from  typhoid  fever  made  use  of  the  stream  for 
this  purpose. 

The  supply  of  the  city  of  Woon socket  continues  the  same.  The 
water-shed  is  closely  guarded,  and  is  completely  controlled  by  the 
city  by  ownershi^D  of  the  entire  water-shed.  Legal  control  of  this 
supply  is  the  only  public  law  which  has  ever  been  enacted  for  the 
protection  of  drinking-water  in  this  State. 

Although  the  enlarged  reservoir  of  the  Newport  Water  Com- 
pany has  given  an  increased  available  supply,  yet  the  constantly 
increasing  demand  and  the  limited  water-shed  require  the  utmost 
economy  to  be  exercised  to  avoid  unnecessary  waste. 

The  Bristol  Water  Company  continues  to  supply  the  towns  of 
Bristol  and  Warren.  The  endeavor  of  the  town  of  Bristol  has 
been  in  the  hands  of  a  master  of  arbitration,  and  there  appears 
little  prospect  of  a  change  of  ownership  at  present.  The  quality 
of  the  water  remains  the  same.  The  water-shed  is  shallow,  and 
the  storage  also.  The  chance  of  contamination  is  extremely  slight, 
and  depends  upon  the  surface  washings  from  fields  occupied  by 
cattle.     The  color  and  taste  remain  of  the  same  intensity. 


1899.]  OENEKAL    KKI'OKT.  3 

The  wsiter  supply  of  the  city  of  Pawtucket,  which  supplies  ji 
large  uumber  of  the  surrounding-  to^vus  and  villages,  still  maiu- 
taius  its  superior  quality.  Althoug-h  filtered  throug-h  a  coarse 
gravel  or  pebl)le  and  charcoal  bed,  yet  this  prr)bably  removes  little 
but  the  coai"ser  matters,  which  are  held  in  suspension.  It  does 
not  serve  to  remove  any  of  the  dangerous  elements  which  might 
find  their  way  into  the  river  from  careless  use  of  mill  privy  vaults. 
A  certain  amount  of  inspection  of  the  banks  of  the  river  is  main- 
tained, and  any  possibility  of  contamination  is  corrected  as  soon 
as  discovered. 

There  exists  at  one  point  on  the  stream  a  mill  which  has  its  so- 
called  tight  privy-box  so  located  that  an  oveiilow  from  this  might 
be  carried  into  the  stream  in  the  time  of  heavy  rains. 

EXAMINATION  OF  WATER  SUPPLIES. 

The  regular  inspection  of  the  banks  of  the  Pawtuxet  river  for 
existing  pollutions  or  possible  intent  to  contaminate  the  river 
throug-h  desii'e  to  dispose  of  refuse,  or  by  ig-uorance,  has  been 
continued  by, the  inspectors  engaged  by  the  city  of  Providence, 
and  under  the  direction  of  the  commissioner  of  public  works  of 
that  city.  The  fact  remains,  however,  that  there  is  always  the 
possibility  of  the  river  being-  contaminated  by  some  member  of 
the  population  in  that  district  placing-  noxious  matter  in  the  stream. 
Thft  last  prevalence  of  typhoid  fever,  connected  with  the  water 
supply,  was  traced  to  contamination  ])laced  in  the  river  by  attend- 
ants of  a  typhoid  patient.  To  thoroiighly  dispo.se  of  the  excre- 
ment, and  to  insure  its  removal  from  the  premises,  the  stools  of  the 
patient  were  all  dumped  into  the  river.  Manufactories  upon  the 
stream  have  large  quantities  of  dye-stufis  to  dispose  of.  An  en- 
deavor is  made  to  filter  or  precipitate  the  suspended  matters  in 
these  wastes.  The  result  is  more  or  less  successful,  but  at  times, 
owing-  to  the  necessity  of  cleansing-  the  clogged  filter,  it  is  alleged 
that  the  wastes  are  allowed  to  g-o  free  into  the  stream,  thereby 
heightening  the  color  of   the  supply,  if  not  possibly  admitting 


4  STATE    BOARD    OF   HEALTH.  [1899 

other  filtli  wliicli  may  prove  injurious  to  those  ing-esting  tlie 
water. 

A  semi-monthly  chemical  analysis  of  the  water  is  made  by  the 
city  of  Providence,  the  sample  being-  taken  from  the  intake  at  the 
Pettaconset  pumping-station,  and  a  monthly  bacteriolog-ical  and 
chemical  analysis  is  made,  by  this  board,  of  sami^les  taken  at  the 
villages  of  Hope  and  Washing-ton,  above  points  of  pollution,  as 
well  as  of  a  sample  taken  from  the  Pettaconset  pumping-station, 
at  the  point  where  the  water  is  taken  from  the  river. 

This  data  has  been  obtained  for  several  years,  and  now  proves 
of  g-reat  value  to  the  city  of  Providence  in  determining  the  com- 
parative values  of  the  waters  now  used  as  compared  with  the  sup- 
ply at  previous  times.  It  also  makes  possible  a  comparison  of  the 
quality  of  the  supply  as  found  before  and  after  pollution.  As  is 
to  be  expected,  the  water  received  at  the  Pettaconset  pumping- 
station  (and  which  is  supplied  to  the  city  through  the  reservoir  at 
Sockanosset  and  thence  through  pipes  to  the  city)  shows  a  greatly 
inferior  quality  to  that  taken  from  the  two  points  above  any  source 
of  pollution,  namely,  at  Hope  and  Washington. 

Although  this  has  been  stated  many  times,  and  is  in  full  knowl- 
edge by  the  board  of  public  works  and  by  the  council  of  the  city 
of  Providence,  yet  no  attempt  has  been  made  to  correct  this  con- 
dition. The  joint  special  committee  of  the  common  council,  ap- 
pointed to  report  upon  the  means  at  hand  for  the  purification  of 
the  supply,  replied  that  it  was  not  only  desirable  but  necessary 
that  the  water  be  purified  before  being  delivered  to  the  con- 
sumers, and  that  it  was  possible  to  do  this  by  means  of  either 
sand  filtration  or  by  mechanical  filtration,  but  that  mechanical  fil- 
tration was  to  be  preferred,  and  has  recommended  it  to  the  council, 
on  account  of  its  lower  first  cost,  its  simplicity  in  operation,  its  per- 
fect control  in  cleaning,  and  from  its  non-dependence  upon  severe 
changes  in  the  weather  during  the  winter  months. 

Opposition  to  the  process  of  mechanical  filtration  was  made  by 
certain  physicians,  on  account  of  the  presumed  possibility  of  the 
alum,  used  in  the  process  as  a  j)recipitant  or  coagulent,  getting 


1 899.  I  fi  K \  K K A  r,  u i: iM ) kt.  5 

into  tlio  tilteretl  w.itor,  aud  hoiuy-  a  source  of  daiii^'-or  to  tlio  pulilic. 
While  this  objection  was  uot  supported  hy  any  data  or  facts  in  re- 
gard to  the  daucffr  of  the  use  of  ahini  in  this  manner,  yet  the 
sentiment  ag-aiust  its  use  prevailed  with  the  common  council ;  and 
while  the  endeavor  to  establish  such  a  plant  was  defeated,  vet  no 
attemjit  was  made  to  introduce  and  pass  a  resolution  recommend- 
in*;-  that  the  sand  filtration  be  adopted.  The  city  was  therefore 
allowed  to  drift  alouo-,  supplying-  a  contaminated  water  to  its 
consumers,  with  the  possibility  of  an  epidemic  pendin^:  at  any 
time. 

The  East  Pro^^deuce  Water  Company  supplies  a  portion  of  the 
town  of  East  Providence,  the  water  being^  taken  from  the  Ten  Mile 
river,  at  Hunt's  Mills.  This  river,  as  stated  in  the  previous  re- 
port, passes  through  a  populous  distnct  and  receives  the  wash- 
ings of  the  water-shed  from  fields  which  are  more  or  less  fertil- 
ized. In  addition,  the  stream  receives  the  wastes  from  sewers  and 
waste-pipes  from  factories  and  from  the  town  of  Attleboro,  Mass. 
The  number  of  persons  contributing  to  this  contamination  is  esti- 
mated at  3,500.  D\-e-stufi"s  and  acid-washings  from  dj'e-houses 
and  jewelry  manufactories  add  to  the  pollution.  It  becomes  nec- 
essary either  to  abandon  this  supply,  or  to  cause  the  nuisances  in 
the  form  of  pollution  to  be  abated,  or  to  purify  the  contaminated 
water  before  deliver}-  to  the  consumers. 

As  stated  in  the  previous  report,  attention  was  given  to  this 
matter,  inspections  were  made,  communications  sent  to  the  State 
Board  of  Health  of  Massachusetts,  asking  for  relief  from  the 
contaminations,  and  replies  from  that  board  that  nothing  could  be 
etlected  by  them.  The  owners  of  the  water  company  were  wai'ned 
as  to  the  continued  use  of  the  water  without  purification,  and  they 
promised  to  give  the  subject  immediate  attention.  During  the 
yeju'  a  mechanical  filtration  plant  has  been  established,  and  has 
l)een  in  operation  since  February  2t»th.  A  rejiort  as  to  the  char- 
acter of  the  filtered  water  and  the  tests  made  of  the  working  of 
the  plant  will  be  found  in  the  body  of  this  report. 


6  STATE    BOAED    OE    HEALTH.  [1899. 

EXAMINATION   OF   SPUTUM   FROM   CASES   OF   SUSPECTED   TUBERCULOSOS. 

The  free  examination  by  the  board  of  all  samples  of  sputum 
received  from  cases  of  suspected  tuberculosis,  for  physicians  only, 
has  been  continued  with  gratifying  results.  By  this  means  a 
physician  is  assisted  in  making  an  early  discoverj^  of  the  presence 
of  this  disease,  and  is  able  to  give  to  his  patient  more  prompt  and 
assiduous  attention.  The  patients  are  at  times  made  aware  of  the 
fact  that  they  are  suffering  from  this  disease  while  in  its  incipi- 
ency,  and  are  enabled  to  obtain  for  themselves  such  treatment  as 
may  be  available. 

The  public  receives  the  benefits  from  this  work  by  the  greater 
care  of  the  patient  to  avoid  indiscriminate  expectoration,  thus 
reducing  in  a  great  measure  the  opportunities  of  spreading  the 
disease.  Money  spent  by  the  State  in  this  manner  is  a  good 
investment. 

EXAMINATION   OF   CULTURES   IN   CASES   OF   SUSPECTED   DIPHTHERIA. 

The  examinations  of  the  secretions  of  the  throat  and  the  growths 
therefrom  upon  a  nutrient  blood  serum,  for  physicians,  in  cases 
suspected  to  be  diphtheria,  have  been  continued  with  the  same 
advantage  to  the  physician,  the  public,  and  the  health  officer,  as 
in  previous  years.  Many  cases  of  simple  pharyngitis  presenting 
no  clinical  symptoms  of  diphtheria  have  been  found  to  contain 
the  organisms  which  jaroduce  this  disease ;  the  corroboration  of 
.  the  bacteriological  diagnosis  being  confirmed  later  by  the  appear- 
ance of  the  membrane  and  the  train  of  symptoms  to  be  found  in 
diphtheria.  This  systein  of  control  was  commenced  by  this  board 
in  1894,  Rhode  Island  being  the  first  State  to  establish  the  system 
as  a  State,  the  city  of  New  York  having  been  the  pioneer  health 
department  in  this  matter. 

PERSONNEL   OF   THE   BOARD. 

There  has  been  no  change  in  the  personnel  of  the  board  since 
the  previous  report. 


SECRETARY'S  REPORT. 


TOWN  SANITATION. 


1899. 


RETORTS   FROM    TOAVNS, 


IN    UKl.ATION    TO    SANITARY    I M  I'UOVKM  ENTS,    KTC. 


It  has  been  observed,  iu  the  previous  issues,  that  a  complete 
annual  report  of  a  State  Board  of  Health  properly  includes  an  ac- 
count of  the  measures  taken  each  year  by  the  municipal  authori- 
ties, corporations,  or  individuals  for  the  promotion  of  the  health 
of  the  communities  under  their  respective  supervision  or  control. 
In  order,  therefore,  to  ascertain  the  facts  iu  relation  to  such  meas- 
ures, and  for  the  purpose  of  presentation  in  this  report  as  iu  the 
reports  heretofore  issued,  and  in  the  continuance  of  the  design  to 
keep  well  informed  of  all  proceedings  throughout  the  State  on 
the  part  of  town  or  city  councils  or  any  form  of  municipal  au- 
thority in  the  appointment  of  health  officers  or  boards  of  health, 
and  in  the  direction  of  improvements  which  have  iu  view  and 
seem  to  promise  the  promotion  of  public  health  by  the  abatement 
of  nuisances  or  the  removal  of  unsanitary  conditions  and  sur- 
roundings, or  by  the  introduction  of  water  for  general  use,  or 
construction  of  sewers,  or  the  establishment  of  other  public  works 
which  may  not  only  be  of  great  public  utilitj^  and  convenience 
but  also  serve  in  some  measure,  large  or  small,  in  the  prevention 
of  disease,  the  secretary  has,  as  heretofore,  solicited  replies  from 
the  Unvu  and  city  clerks  of  the  several  towns  and  cities,  or  other 
municipal  officers,  in  answer  to  questions  proposed  in  a  circular 
sent  for  that  purpose. 

It  is  designed  and  hoped  that  a  connected  history  may  thereby 
be  secured  of  all  sanitary  improvements  of  a  public  chai'acter  iu 
all  parts  of  the  State,  from  ye^u'  to  year ;  and  the  gradual  awukeu- 

2 


10  STATE    BOARD    OF   HEALTH.  [1899. 

ing-  of  the  citizens  of  tlie  different  towns  to  tile  necessity  of  sanitary 
public  measures  thereby  be  shown  ;  and  also  whatever  intellig-ent 
appreciation  of  such  necessity,  and  whatever  public  spirit  in  ex- 
istence in  the  towns  there  may  be,  may  be  known  as  manifested 
by  the  readiness  with  which  needed  sanitary  measures  are  adopted. 
The  following-  is  the  form  of  circular  sent  at  close  of  the  year 
1898 : 

CIECULAE   No.  130. 

Office  of  Secretary  of  State  Board  of  Health, 

48  Weybosset  Street, 
Providence,  E.  I.,  Jan.  1,  1899. 
To  the  Town  Clerk  : 

It  is,  by  statute  law,  made  the  duty  of  the  secretary  of  the  State  Board 
of  Health  to  make  inquiries  of  town  or  city  clerks,  or  of  the  clerks  of 
local  boards  of  health,  in  regard  to  the  general  health  and  sanitary  con- 
dition of  the  towns,  and  also  in  regard  to  measures  taken  for  the  improve- 
ment of  the  same,  as  may  be  seen  by  the  following  section  from  the 

Public  Statutes,  Chapter  83. 

Sec.  6.  The  secretary  of  the  said  board  shall  make  inquiry,  from  time 
to  time,  of  the  clerks  of  town  and  local  boards  of  health,  and  practicing 
physicians,  in  relation  to  the  prevalence  of  any  disease,  or  knowledge  of 
any  known  or  generally  believed  source  of  disease,  or  causes  of  general  ill- 
health,  and  also  in  relation  to  the  proceedings  of  the  said  boards  of  health 
in  respect  to  acts  for  the  promotion  and  protection  of  the  public  health,  and 
also  in  relation  to  diseases  among  domestic  animals,  in  their  several  towns 
and  localities,  respectively;  and  the  said  clerks  of  town  and  local  boards 
of  health  and  said  practicing  physicians  shall  give  such  information  in 
reply  to  said  inquiries,  of  such  facts  and  circumstances  as  have  come  to 
their  knowledge. 

In  order  to  make  complete  the  annual  report  of  this  hoard  to  the  General 
Assembly,  the  secretary  would  respectfully  ask  your  co-operation  by  answers 
to  the  following  questions  : 

1.    Has  any  work  for  the  promotion  of  public  health  been  contemplated 


1899.]  secrktaky's  kei'Out.  11 

or  completed  in  your  town  by  the  town  authorities,  or  hy  jirivate  enter- 
prise, (luring  the  year?    If  any,  please  state  what. 

2.  If  by  introduction  or  extension  of  water  service  for  general  use, 
please  state  what  proportion  of  the  population,  by  estimation,  was  sup- 
plied with  the  same  at  the  end  of  the  year.* 

3.  If  city  or  town  has  sewage  system,  state  the  aggregate  length  of 
sewers,  by  estimation  or  otherwise,  and  about  what  proportion  of  the 
population  has  drainage  connected  with  them  at  the  end  of  the  year.* 

4.  If  by  new  ordinances  in  abatement  of  nuisances,  or  for  any  sanitary 
purpose,  please  send  copy  of  same  ;  also  state  how  far,  to  your  best  knowl- 
edge, all  the  sanitary  ordinances  have  been  enforced.  Copies  of  town 
ordhiances  especially  desired. 

5.  Has  your  town  any  legal  board  of  health  beside  the  town  councilV 
If  so,  please  give  the  names  of  the  officers  of  the  same. 

6.  Please  give  the  names  of  the  health  officers  of  your  town. 

7.  Has  gratuitous  vaccination  been  provided  in  your  town  during  the 
past  year  ?  W  hat  proportion  of  the  population  was  vaccinated,  according 
to  your  best  knowledge? 

8.  Have  undertakers  promptly  sent  in  their  returns  of  death  ?  Please 
give  names  of  any  who  do  not.    (See  Public  Statutes,  Chap,  85,  Sec.  1.) 

9.  Do  clergymen  make  returns  of  marriages  promptly  each  month,  as 
required  by  Public  Statutes,  Chap.  85,  Sec.  4? 

Thanking  you  in  advance  for  your  assistance,  I  am, 

Vours  truly, 

CJARDNER  T.  SWARTS, 

Secretari/. 

N.  B.— The  town  or  other  cUn-k  sht)uld  charge  a  reiminei-ative  fee  for  replying  to  the  above 
circular,  and  present  to  the  town  council  or  board  of  health,  it  being  a  service  required  by  law. 


♦If  not  known  by  the  person  replying,  please  state  where  or  of  whom  such  information 
may  be  obtained. 


13  STATE    BOARD    OF    HEALTH.  [1899. 


BEISTOL  COUNTY. 

BAERII^GTOK 

1.  IsTo thing  for  the  promotion  of  tlie  public  liealth  has  been  done  during 
the  year. 

3.  This  town  has  no  sewage  system. 

4.  ISTo  new  sanitary  ordinances  have  been  adopted  during  the  year. 
(See  contagious  disease  ordinance,  report  of  1897,  p.  10.) 

5.  This  town  has  no  legal  board  of  health  other  than  the  town  council. 

6.  Charles  H.  Bowden,  health  officer, 

7.  Gratuitous  vaccination  has  not  been  provided  in  this  town  during 
the  year. 

8.  In  the  main,  undertakers  have  made  returns  of  deaths  promptly. 

9.  Clergymen  make  returns  of  marriages  promptly. 

Frederick  P.  Church,  Town  Clerk. 

BEISTOL. 

1.  In  the  early  part  of  the  summer  season  the  town  council  instructed 
the  surveyor  to  give  close  attention  to  cleaning  streets  and  gutters.  The 
health  otBcer  was  also  instructed  to  have  sewers,  cesspools,  and  vaults 
cleaned.    All  of  these  orders  were  carried  out  and  strictly  enforced. 

2.  The  compact  part  of  the  town  is  dependent  wholly  upon  water  ser- 
vice. 

3.  This  town  has  no  sewage  system.  There  are  many  sewers  leading 
to  the  harbor,  all  of  which  have  been  built  by  private  parties. 

5.  This  town  has  no  legal  board  of  health  other  than  the  town  council. 

6.  George  H.  Peck,  health  officer. 

7.  Gratuitous  vaccination  has  been  provided  during  the  year. 

8.  Returns  of  deaths  and  births  are  promptly  sent  to  this  office. 

9.  Returns  of  marriages  are  promptly  made  to  this  office. 

Herbert  F.  Bennett,  Town  Clerk. 


ISU'.I.  I  SECKlC'I'AltY's    Ulll'UKT,  13 

WAIJHKX. 

1.  !Notliiufj  spoi'i;il  for  the  iiroiiiotiun  (if  llic  iiiil)lic  licaltli  lias  Ihm'ii  done 
during  the  year. 

2.  To  the  best  ol'  niy  kii()\\ic(l,t>:('  tiicrc  was  no  extension  oi'  the  water 
service  of  tliis  town  (Uuinj^-  tlie  year. 

:>.  This  town  has  no  public  sewage  system,  ^fany  tenements  of  the 
^Varren  Manul'acturing  Company  and  several  streets  in  diflerent  parts  of 
the  town  are  drained  by  sewers. 

4.  The  only  new  ordinance  governing  sanitation  passed  during  the  year 
is  as  follows  : 

It  is  ordained  hi/  the  Town  Council  of  Warren  ((sfolhnrs  .- 

Skctiox  1.  No  person  shall  suffer  or  allow  the  carcass  of  any  dead 
horse,  cow,  or  ox,  or  any  other  animal,  to  be  or  remain  unbnried  on  his 
premises,  or  on  the  premises  occupied  by  him,  in  the  town  of  Warren,  so 
as  to  be  prejudicial  to  health  or  an  annoyance  to  the  neighborhood. 

Sec.  2.  Any  person  who  shall  violate  this  ordinance  shall  be  fined  not 
exceeding  twenty  dollars,  or  be  imprisoned  not  exceeding  thirty  days. 

Skc.  3.    This  ordinance  shall  take  effect  immediately. 

5.  This  town  has  no  legal  board  of  health  other  than  the  town  council. 
(J.    Abraham  Bowen,  health  officer. 

7.  Gratuitous  vaccination  has  been  provided  during  the  j'ear,  and  about 
one  twenty-fourth  of  the  population  has  availed  itself  of  the  same. 

8.  Undertakers  have  generally  made  prompt  returns  of  deaths. 

9.  Clergymen  make  returns  of  marriages  promptlj'. 

Charlks  13.  Mason,  Town  Clerk. 

KENT   COUNTY. 

COVEKTRY. 

1.  Nothing  for  the  promotion  of  the  public  health  has  been  done  during 
the  year. 

2.  This  town  has  no  public  water  service. 

3.  This  town  has  no  sewage  system. 

4.  No  new  sanitary  ordinances  have  been  adopted  during  the  year. 

.").     This  town  has  no  legal  board  of  health  other  than  the  town  council. 


14  STATE    BOAED    OF    HEALTH.  [1899. 

6.  John  Winsor,  M.  D,,  health  officer. 

7.  Gratuitous  vaccination  has  not  been  provided  in  this  town. 

8.  Undertakers  have  made  prompt  returns  of  deaths. 

9.  Clergymen  make  returns  of  marriages  promptly. 

Stephen  W.  Griffin,  Town  Clerk. 

EAST   GEEEKWICH. 

1.  Nothing  for  the  promotion  of  the  public  health  has  been  contem- 
plated during  the  year. 

2.  There  are  about  live  hundred  water-taps  in  town.  Fully  sixty-four 
per  cent,  of  the  population  is  supplied  with  water. 

3.  The  aggregate  length  of  sewers  in  this  town  is  6,335  feet.  This 
affords  drainage  to  125  estates,  75  per  cent,  of  which  have  connections 
made.    The  population  of  the  area  drained  is  probably  between  600  and  700. 

4.  No  new  health  ordinances  have  been  passed  during  the  year.  All 
sanitary  regulations,  as  far  as  is  known,  have  been  well  enforced.  (Health 
ordinance,  see  report  of  1894,  p.  27.) 

5.  This  town  has  no  legal  board  of  health  other  than  the  town  council. 

6.  Elb ridge  G.  Carpenter,  M.  D.,  health  officer. 

7.  It  is  understood  that  gratuitous  vaccination  is  given  to  any  who  may 
apply  to  health  officer. 

8.  Undertakers  are  prompt  in  making  returns  of  deaths. 

9.  Clergymen  are  prompt  in  making  returns  of  marriages. 

George  A.  Loomk,  Town  Clerk. 

WEST  GREENWICH. 

No  reply  from  the  town  clerk. 

WARWICK. 

1.  Nothing  for  the  promotion  of  the  public  health  has  been  done  during 
the  year. 

2.  This  town  has  no  public  water  service. 

3.  This  town  has  no  sewage  system. 

4.  No  new  sanitary  ordinances  have  been  adopted  during  the  year. 
(Contagious  disease  ordinance,  see  report  of  1893,  p.  45.) 


1891).]  secrrtauy's  kki'okt.  15 

ri.     Tliis  town  has  no  Icjjal  buanl  ol'  hcaltli  otlitT  (liaii  tlic  town  (•(»iiiicil. 

(1.     Albert  G.  Spraj?ue,  M.  D.,  health  officer. 

8.     Undertakers  iiave  made  inoiiiiit  returns  of  deaths. 

0.     Clergymen  make  returns  of  marriages  promptly. 

.Ia.mks  T.  TjOCKWood,  Tonui  ('hrk. 

NEWPOKT  COUNTY. 

JAMESTOWN. 

2.  About  two-thirds  of  the  population  of  this  town  are  supplied  by  the 
public  water  service. 

3.  A  small  extension  of  the  town  sewers  has  been  made.  The  length 
of  sewers  in  this  town  is  about  four  and  one-(iuarter  miles,  and  about  two- 
thirds  of  the  population  are  connected  therewith. 

4.  No  new  health  ordinances  have  been  passed  during  the  year.  All 
sanitary  regulations  have  been  well  enforced.  (Health  laws,  see  report  of 
1893,  p.  46,  and  1894,  p.  29.) 

5.  This  town  has  no  legal  board  of  liealth  other  than  the  town  council. 

6.  Abbott  Chandler,  health  oflicer. 

7.  Gratuitous  vaccination  has  not  been  provided  during  the  year. 

8.  Undertakers  have  made  prompt  returns  of  deaths. 

9.  Clergymen  make  returns  of  marriages  i)romptly. 

William  F.  Ca.swkll,  Totoi  ('lerk. 

LITTLE   COMPTON. 

\.  Nothing  for  tlie  promotion  of  tlie  public  health  has  been  done  during 
the  year. 

an  ordinanck  fok  thk  kegulation  and  i'hkvkntlox  of  (_  ()nta<ii()rs, 
infp:ctk)Us,  and  epidemic  diseases. 

The  following  ordinances  are  hereby  declared  to  be  the  ordinances  of 
this  town,  and  shall  go  into  operation  and  effect  on  and  after  their  passage. 

It  is  ordaitied  hy  the  Town  Council  of  the  Toini  of  Little  C'onipton  us  JdUdws  : 

Section  1.  Every  physician  or  householder  having  knowledge  of  the 
existence  of  any  case  of  contagious,  infectious,  or  epidemic  disease  within 


16  STATE   BOARD  OF    HEALTH,  [1H99. 

the  town  of  Little  Compton  shall  immediately  make  report  thereof,  in 
writing,  to  the  health  officer  of  said  town,  with  particulars.  And  said 
health  officer  shall  forthwith  take  necessary  precautions  to  prevent  the 
spread  thereof. 

Sec.  2.  The  diseases  referred  to  in  the  preceding  section  shall  include 
asiatic  cholera,  cerebro  spinal  meningitis  (spotted  fever),  membranous 
croup,  diphtheria,  measles,  scarlet  fever,  small-pox,  typhus  fever,  typhoid 
fever,  whooping  cough,  yellow  fever,  and  such  other  contagious,  infectious> 
or  epidemic  diseases  as  the  health  officer  shall  from  time  to  time  designate. 

Sec.  3.  Any  physician,  householder,  or  person  who  shall  fail  to  comply 
with  the  provisions  of  the  preceding  sections  shall  be  fined  not  less  than 
five  dollars,  nor  more  than  ten  dollars,  for  each  day  of  such  neglect,  after 
having  knowledge  of  the  existence  of  any  of  the  diseases  aforesaid. 

Sec.  4,  Whenever  the  health  officer  shall  believe,  or  is  notified  that 
there  exists  in  the  town  of  Little  Compton,  any  case  of  malignant  or  con- 
tagious disease,  he  shall  have  authority  to  visit  the  premises  where  the 
disease  is  supposed  or  suspected  to  exist,  and  to  investigate  the  matter  of 
such  existence,  and  to  take  proper  precautions  to  prevent  the  spread  of 
such  disease,  and  he  may,  if  necessary,  call  upon  the  town  sergeant  for 
assistance  in  making  such  investigations,  or  in  enforcing  the  observance 
of  such  precautions  as  may  be  issued  advisable. 

Sec.  5.  The  health  officer  having  knowledge  of  the  presence  of  scarlet 
fever,  diphtheria,  measles,  small-pox,  or  Asiatic  cholera  in  any  house,  shall 
place  or  cause  to  be  placed  a  card  or  cards  upon  such  house  where  such 
disease  or  diseases  exist,  bearing  the  name  or  names  of  the  disease  or 
diseases  in  such  house,  which  card  or  cards  shall  not  be  removed  without 
the  consent  of  the  health  officer.  Any  person  who  shall  wilfully  remove 
or  deface  said  card  or  cards  shall,  upon  conviction  thereof,  be  fined  ten 
dollars  for  the  first  offence  and  twenty  dollars  for  each  subsequent  offence. 

Sec.  6.  The  health  officer  may,  upon  consultation  with,  and  by  the 
advice  and  consent  of,  some  member  of  the  town  council,  set  a  proper 
guard  to  prevent  the  spread  of  any  contagious,  infectious,  or  epidemic 
diseases,  and  shall  give  such  directions  as  he  may  deem  proper  concerning 
the  ingress  and  egress  of  persons  to  and  from  any  house  in  which  any  of 
said  diseases  exist ;  and  any  member  of  the  town  council  in  his  discretion, 
if,  in  his  opinion,  immediate  action  is  required,  upon  receiving  notifica- 
tion that  any  person  is  sick  with  any  infectious,  contagious,  or  epidemic 
disease,  may  set  such  guard  as  aforesaid  without  consulting  with  said 
health  officer,  and  give  such  direction  as  he  may  deem  proper,  in  which 
case  such  member  of  the  town  council  shall  notify  said  health  officer 


1899.]  sKcitKTAiiv's   I!i:i'()i;t.  17 

Every  pcrsdii  wlio  shall  wiUiilly  (lisrcf^^iinl  or  violate  any  (lii-cctioii,  lulc, 
refjulation,  or  order  of  said  health  ollicer,  of  member  of  town  council,  con- 
cerning the  inpress  or  egress  of  persons  to  and  from  said  house,  siiall  be 
fined  not  exceeding  twenty  dollars,  or  imprisoned  not  more  than  ten  days. 

Skc.  7.  No  person  living  in  a  family  where  tliere  is  a  case  of  small-pox 
shall  attend  scliool,  Sunday-scliool,  or  any  public  place,  or  ride  in  any  pub- 
lic conveyance  ;  and  no  person  emidoyed  in  any  workshop  or  place  of 
business  shall  return  to  work  unlil  the  patient  has  passed  the  period  of 
dessication  (falling  off  of  scal)s),  nor  till  the  house  has  been  properly  disin- 
fected and  fumigated  by,  and  mider  the  direction,  and  to  the  satisfaction 
of,  the  health  ollicer,  nor  without  a  certificate  or  permit  from  tlie  health 
ollicer. 

Skc.  s.  Xo  person  living  in  a  family  where  there  is  a  case  of  scarlet 
fever  shall  attend  school,  Sunday-school,  or  any  public  place  or  public 
gathering,  until  at  least  six  weeks  from  the  beginning  of  the  last  case  in 
said  family,  nor  till  desquamation  (peeling  of  the  skin)  shall  have  ceased, 
nor  until  the  house  has  been  disinfected  and  fumigated  by,  and  to  the 
satisfaction  of,  the  health  ollicer,  nor  without  a  certificate  or  permit  from 
the  health  oflicer. 

Sec.  0.  Xo  person  having  diphtheria  sliall  attend  school  or  be  employed 
at  any  business,  and  no  person  living  in  a  family  where  diphtheria  exists 
shall  attend  school,  Sunday-school,  or  any  public  place,  until  one  week 
after  the  recovery  of  the  patient,  and  until  the  absence  of  the  disease  has 
been  demonstrated  by  bacteriological  examhiation  of  the  secretions  of  the 
throat,  nor  until  the  house  has  been  disinfected  by,  and  under  the  direc- 
tion, and  to  the  satisfaction  of,  the  health  officer,  nor  without  a  permit  or 
certificate  from  the  health  officer. 

Sec.  10.  No  person  having  measles  or  living  in  a  family  where  there  is 
a  case  of  measles  shall  attend  school  or  Sunday  school,  until  one  week  af- 
ter the  recovery  of  the  last  patient,  nor  until  the  last  patient  in  said  family 
has  ceased  to  desquamate,  nor  without  a  certificate  or  permit  from  the 
health  oflicer. 

Sec.  11.  Xo  person  witii  wliooping  cough,  mumps,  or  chicken  pox,  shall 
attend  school  or  Sunday  school,  until  complete  recovery,  nor  without  a 
certificate  or  permit  from  the  health  oflicer. 

Sec.  1'2.  The  above  rules  shall,  when  deemed  necessary  by  the  health 
officer,  be  extended  to  all  persons  living  in  the  same  house  where  any  of 
the  above  diseases  exist,  and  the  liealth  oflicer  may  at  his  discretion  ex- 
tend the  period  of  isolation  specified  in  the  preceding  sections. 

Sec.  13.     Xo  teaclier  in  a  pul)lic  or  private  school,  or  other  educational 
■6 


18  STATE    BOAED    OF    HEALTH.  [1899. 

institution,  who  has  knowledge  of  such  case,  shall  admit  a  person  from  a 
house  in  which  there  is  or  has  been  a  case  of  small-pox,  scarlet  fever, 
diphtheria,  or  membranous  croup,  without  a  permit  from  the  health  officer. 

Sec.  14.  Every  physician  having  knowledge  of  the  death  of  any  person 
within  the  town  of  Little  Compton  from  any  contagious,  infectious  or  epi- 
demic disease,  upon  whom  he  had  been  in  attendance,  shall  immediately 
make  a  report  thereof  in  writing  to  the  health  officer  of  this  town. 

Sec.  15.  The  funeral  of  any  person  who  has  died  while  suffering  from 
or  afflicted  with  small-pox,  scarlet  fever,  diphtheria,  or  membranous  croup, 
and  the  funeral  of  any  person  that  has  died  while  any  member  of  the  fam- 
ily of  such  person  is  suffering  from  or  afflicted  with  small-pox,  scarlet 
fever,  diphtheria,  or  membranous  croup,  shall  be  private,  and  the  attend- 
ance thereat  shall  be  limited  to  the  immediate  relatives  of  the  deceased, 
adult  pall  bearers,  clergymen  and  undertaker,  together  with  such  other 
persons  as  shall  have  received  from  the  health  officer  permission  to  be 
present. 

Sec.  16.  ISTo  person  who  has  the  care  or  custody  of  the  body  of  any  per- 
son who  has  died  while  suffering  from  or  afflicted  with  small-pox,  scarlet 
fever,  diphtheria,  or  membranous  croup,  and  no  person  who  has  the  care 
or  custody  of  the  body  of  any  person  who  has  died  while  any  member-  of 
the  family  of  such  person  is  suffering  from  or  afflicted  with  small-pox, 
scarlet  fever,  diphtheria,  or  membranous  croup,  shall  permit  any  funeral 
other  than  such  as  is  specified  in  the  foregoing  section,  and  no  person  hav- 
ing the  care  or  custody  of  such  body  shall  permit  any  assemblage  or  gath- 
ering to  be  held  in  any  house  containing  such  body,  and  when  such  body 
has  been  placed  in  a  casket,  the  casket  shall  be  immediately  closed,  and 
not  opened  again  before  burial.  'Ro  person  having  the  care  and  custody 
of  the  dead  body  shall  knowingly  or  wilfully  do  or  permit  to  be  done 
any  unnecessary  act  by  which  such  disease  may  spread  from  such  dead 
body. 

Sec.  17.  No  undertaker  shall  assist  at  the  funeral  of  any  person  who 
has  died  while  suffering  from  or  afflicted  with  small-pox,  scarlet  fever, 
diphtheria,  or  membranous  croup ;  and  no  undertaker  or  clergyman  shall 
assist  at  the  funeral  of  any  person  who  has  died  while  any  member  of  the 
family  of  such  person  is  suffering  from  or  afflicted  with  small-pox,  scarlet 
fever,  diphtheria,  or  membranous  croup,  unless  such  funeral  be  conducted 
in  accordance  with  section  15. 

Sec.  18.  Every  person  who  shall  violate  any  provision  of  the  preceding 
sections  shall,  upon  conviction  thereof,  pay  a  fine  of  not  more  than  twenty 
dollars,  or  be  imprisoned  not  exceeding  ten  days. 


1800. 1  secretary's  hei'ort.  19 

Skc.  10.  Any  person  who  shall  violate  any  ol'  the  i)rovisions  of  this 
ordinance,  the  punishment  wiiereot  has  not  l»ecn  iicrciiibefore  i)rovi(h'(l 
for,  sliall,  upon  conviction  tlun-eof,  pay  a  line  of  not  more  tlian  twenty 
(loHars,  or  be  imjjrisoned  not  exceedinj?  ten  days. 

Skc.  '20.  It  sliall  he  the  duty  of  the  health  ollicer  of  this  town  to  make 
complaint  of  the  violations  of  the  i)rovisions  of  the  ordinances  of  this 
town. 

Si'X'.  21.  All  comi)laints  of  the  violation  of  any  of  tlie  provisions  of  this 
ordinance  shall  be  made  to  the  town  council,  who  shall  examine  into  the 
cause  of  said  complaint,  and  if  said  town  council  shall  lind  just  cause  for 
comi)laint,  said  town  council  shall  cause  tlie  person  complained  of  to  be 
prosecuted. 

Skc.  22.  All  violations  of  tlie  provisions  of  each  and  every  ordinance 
now  in  force,  or  which  shall  hereafter  be  adopted,  shall  be  prosecuted  by 
complaint  and  warrant,  or  other  legal  process,  before  any  court  of  compe- 
tent jurisdiction  ;  and  in  cases  of  prosecution  by  complaint  and  warrant, 
the  town  sergeant  and  such  constables  as  the  town  council  shall,  from 
time  to  time,  appoint  for  that  purpose,  shall  alone  be  authorized  to  make 
complaint  without  giving  surety  for  costs. 

Sec.  23.  In  all  cases  where  default  sliall  be  made  in  the  payment  of  the 
fine  and  costs  imposed  by  the  court,  for  the  violation  of  this  ordinance, 
each  and  every  person  upon  whom  such  fine  and  costs  shall  be  imposed 
shall  be  committed  to  the  Newport  county  jail  until  the  sentence  be  per- 
formed in  all  its  parts. 

Skc.  24.  All  ordinances  and  parts  of  ordinances  inconsistent  herewith, 
and  the  ordinances  passed  March,  1898,  are  hereby  repealed. 

Skc.  2.").    This  ordinance  shall  take  effect  immediately. 

Passed  by  the  town  council  Jmie  ;kl,  1899. 

Attest:  F.  11.  Bkownkll,  Clerk. 

.5.     Adam  S.  MacKnight,  M.  1).,  health  officer. 

7.  fJratuitous  vaccination  has  not  been  provided  during  the  year, 

8.  Undertakers  have  made  prompt  returns  of  deaths. 

9.  Clergymen  make  returns  of  marriages  irregularly. 

Frederick  R.  Huownell,  Town  Clerk. 

MIDDLETOWN. 

1.  No  special  work  in  relation  to  the  protection  of  the  pul)lic  health  or 
the  improvement  of  sanitary  conditions  lias  been  begun  or  designed  dur- 
ing the  year.  ' 


20  STATE   BOARD    OF    HEALTH.  [1899. 

2.  There  was  no  extension  of  the  water  service  of  this  town.  A  few 
families  are  supplied  free  from  the  mains  of  the  I^fewport  water  works, 
which  run  through  several  highways  of  this  town. 

3.  This  town  has  no  sewage  system. 

4.  No  new  ordinances  were  passed  during  the  year.  Ordinances  in  rela- 
tion to  health  have  been  generally  complied  with.  The  presence  of  con- 
tagious disease  in  a  house  has  not  always  been  indicated  by  a  notice  outside. 
(Contagious  disease  ordinances,  see  report  of  1893,  p.  48.) 

5.  This  town  has  no  legal  board  of  health  other  than  the  town  council. 

6.  George  E.  Ward,  health  officer. 

7.  Gratuitous  vaccination  was  provided  in  the  month  of  June,  and  Dr. 
C.  F.  Barker,  of  Newport,  was  engaged  to  make  the  vaccinations.  The 
number  vaccinated  was  not  reported  to  this  office. 

8.  Returns  of  deaths  have  been  promptly  sent  to  this  office.  In  most 
cases  before  the  burial  of  the  deceased  person. 

9.  But  few  marriages  are  solemnized  in  this  town.  These  are  returned 
as  required  by  law. 

Albert  L.  Chase,  Town  Clerk. 

NEWPORT. 

No  report  from  the  city  clerk. 

NEW  SHOREHAM. 

1.  Nothing  special  for  the  promotion  of  the  public  health  was  done 
during  the  year.  An  appropriation  was  made  for  the  purpose  of  improving 
the  "Harbor  Pond,"  at  present  a  pond  of  brackish  water. 

5.  This  town  has  no  legal  board  of  health  other  than  the  town  council. 

6.  Hamilton  A.  Mott,  health  officer. 

7.  Gratuitous  vaccination  has  not  been  provided  during  the  year. 

8.  Undertakers  are  fairly  prompt  in  making  returns  of  deaths. 

9.  Clergymen  make  returns  of  marriages  promptly. 

Edward  P.  Champlin,  Toimi  Clerk. 

PORTSMOUTH. 

1.  Nothing  particular  for  the  promotion  of  the  public  health  has  been 
done  during  the  year.  In  fact,  there  is  not  much  cause  for  anything  of 
this  kind. 


1809.]  SKCRETAIiV's    KKI'OKT.  21 

2.  Tliis  town  has  no  ])ublic  water  service. 

3.  This  town  has  no  sewage  system. 

4.  At  a  session  of  the  town  conncil  as  a  hoard  of  licalth,  held  on  th<' 
sill  (lay  of  May,  it  was  voted  and  onhiincd  that  any  and  all  jx-rsons  be,  and 
are  hereby,  strictly  forbidden  to  dnnip  any  rubbish  of  any  kind  whatsoever 
on  any  part  or  within  any  of  the  resitective  highways  in  this  town. 

5.  The  town  council  constitutes  the  board  of  health. 
G.    Minot  A.  Steele,  M.  I).,  health  ollicer. 

7.  (iratuitons  vaccination  has  been  provided  durinpr  the  year,  and  about 
one-eighth  of  the  population  has  availed  itself  of  the  same. 

8.  Undertakers  are  prompt  in  making  returns  of  deaths. 

9.  Clergymen  make  returns  of  marriages  promptly. 

WiLLiA3r  F.  Braytox,  Town  Clerk. 

TIVERTON. 

No  reply  from  the  town  clerk. 

4.    (Contagious  disease  ordinances,  see  report  of  1S07,  p.  17.) 

PKOVIDENCE  COUNTY. 

BURRILLVILLE. 

1.  Nothing  for  the  promotion  of  the  public  health  has  been  done  during 
the  year. 

2.  This  town  has  no  public  water  service. 

3.  This  town  has  no  sewage  system. 

4.  No  new  ordinances  have  been  passed  during  the  year.  Those  in 
force  are  fairly  well  enforced.  (Contagious  disease  ordinances,  see  report 
of  1897,  p.  20.) 

T).    This  town  has  no  legal  board  of  health  otiier  than  the  town  council 
G.    John  Clavin,  health  ofHcer. 

7.  Gratuitous  vaccination  has  not  been  provided  during  the  year. 

8.  The  undertakers  have  been  coniniendably  prompt  with  their  returns 
of  death. 

9.  Clergymen  generally  maki'  returns  of  marriages  promptly. 

EixiAU  A.  Mathkwsox,  I'oim  Clerk. 


23  STATE    BOARD    OF   HEALTH.  [1899. 

CENTRAL  FALLS. 

1.  IsTothing  for  the  promotion  of  the  public  health  has  been  done  during 
the  year. 

2.  About  95  per  cent,  of  the  population  of  this  city  is  supplied  by  the 
water  service  of  this  city. 

3.  The  length  of  sewers  in  this  city  is  8.03  miles,  and  about  35  per  cent, 
of  the  population  is  connected  therewith. 

5.  The  board  of  aldermen  constitute  the  board  of  health  of  this  city. 

6.  Charles  F.  Sweet,  M.  D.,  health  officer. 

7.  Gratuitous  vaccination  has  been  provided  during  the  year,  and  316 
persons  availed  themselves  of  the  same.  The  city  physician  acts  as  vacci- 
nating physician,  and  all  who  wish  it  are  vaccinated  or  revaccinated. 

8.  LTndertakers  are  prompt  in  making  returns  of  deaths. 

9.  Clergymen  make  returns  of  marriages  promptly. 

C.  Fked.  Crawtord,  City  Clerk. 

CRAKSTOK 

1.    ISTothing  for  the  promotion  of  the  public  health  has  been  done  during 
the  year. 
(3.    Daniel  S.  Latham,  M.  D.,  and  John  Bigbee,  health  officers. 

7.  Gratuitous  vaccination  has  been  provided  during  the  year. 

8.  Undertakers  are  prompt  in  making  returns  of  deaths. 

9.  Clergymen  make  returns  of  marriages  promptly. 

Daniel  D.  Waterman,  Toxon  Clerk. 

CUMBERLAN^D. 

1.  Nothing  for  the  promotion  of  the  public  health  has  been  done  during 
the  year. 

2.  There  has  been  no  extension  of  the  public  water  service  during  the 
year. 

3.  This  town  has  no  sewage  system. 

4.  There  have  been  no  new  ordinances  adopted  during  the  year.  Those 
in  force  at  present  are  well  enforced.  (Contagious  disease  ordinance,  see 
report  of  1893,  p.  53.) 


1899.]  seckktaky's  KKi'oirr.  33 

5.  Tliis  town  lias  no  Icfj^al  board  of  licaltli  otlici'  lliau  tlic  town  council, 

(i.  William  .1.  Mcdunnaslc,  health  olliccr. 

7.  (iratuitous  vaccination  has  not  been  provided  durinf,^  tiie  year. 

8.  Undertakers  are  prompt  in  making:  returns  of  deaths. 
!».  ('ler<,^ynien  do  not  make  returns  of  marriages  promptly. 

.Toiix  F.  Clakk,  Toirn  Clerk. 

EAST  PROVIDENCE. 

1.  Notliin.n'  for  the  promotion  of  the  public  health  has  been  done  during,' 
tlie  year. 

2.  About  To  per  cent,  of  the  population  of  this  town  is  supplied  by  the 
water  service  of  this  town. 

3.  The  length  of  sewers  in  this  town  is  one  and  one-quarter  miles,  and 
about  two  per  cent,  of  the  population  is  connected  therewith. 

4.  There  have  been  no  new  ordinances  adopted  during  the  year.  Those 
in  force  at  present  are  well  enforced.  (Contagious  disease  and  garbage 
ordinances,  see  report  of  1893,  p.  54.) 

5.  This  towii  has  no  legal  board  of  health  other  than  the  town  council. 

6.  Mason  B.  Wood,  health  otHcer. 

8.  There  have  been  some  violations  of  the  law  requiring  the  prompt 
returns  of  deaths.    All  these,  however,  have  been  remedied. 

9.  Clergymen  make  returns  of  marriages  promptly. 

James  G.  Peck,  Toicn  Clerk. 

FOSTER. 
6.    Henry  Arnold,  M.  D.,  health  officer. 

8.  Undertakers  are  fairly  prompt  in  making  returns  of  deaths. 

9.  Clergymen  are  fairly  prompt  in  making  returns  of  marriages. 

Emory  D.  Lyon,  Town  Clerk. 

GLOCESTEH. 

1.     Nothing  for  the  promotion  of  the  i)ul)iic  health  has  been  done  during 
the  year. 
4.     No  new  ordinances  have  been  adopted  during  the  year. 
6.     George  A.  Harris,  M.  I).,  liealtli  ollicer. 


24  STATE    BOARD    OF    HEALTH.  [1899. 

7.  Gratuitous  vaccination  has  not  been  provided  during  the  year. 

8.  Undertakers  have  made  prompt  returns  of  deatlis. 

9.  Clergymen  make  returns  of  marriages  promptly. 

Charles  W.  Farnum,  Toion  Clerk. 

JOHI^STOK 

1.  To  the  best  of  my  knowledge,  nothing  for  the  promotion  of  the  public 
health  has  been  done  during  the  year. 

4.  'No  new  sanitary  ordinances  have  been  adopted  during  the  year 
The  present  ordinances  are  well  -enforced.  (Contagious  disease  and  nui- 
sance ordinances,  see  report  of  1896,  p.  20.) 

5.  Ralph  H.  Shaw,  M.  D.,  Charles  A.  Barnard,  M.  D.,  and  Hiram  Kim- 
ball constitute  the  board  of  health. 

6.  Ralph  H.  Shaw,  M.  D.,  town  physician. 

7.  Gratuitous  vaccination  has  been  provided  during  the  year.  Out  of 
an  estimated  population  of  4,500,  about  100  school  children  have  been 
vaccinated. 

8.  Undertakers  have  made  prompt  returns  of  deaths. 

9.  Clergymen  make  returns  of  marriages  promptly. 

Sterry  K.  Luther,  Town  Clerk. 

LINCOLN. 

2.  During  the  year  water-pipes  have  been  laid  oia  Grove,  Arnold,  and 
Front  streets.  About  1,000  people  are  thus  accommodated  with  Abbott 
Run  water. 

3.  The  village  of  Manville  is  the  only  place  in  town  where  there  are 
sewers  connecting  with  private  residences.  The  Prospect  Hill  sewer  has 
been  extended  some  800  feet.    This  is  a  sewer  for  surface  drainage  only. 

4.  (Contagious  disease  and  nuisance  ordinances,  see  report  of  1896,  p.  20.) 

5.  This  town  has  no  legal  board  of  health  other  than  the  town  council. 

6.  James  W.  Walker,  M.  D.,  health  officer. 

7.  Gratuitous  vaccination  is  provided  for  school  children,  of  whom 
about  180  have  been  vaccinated  during  the  year. 

8.  Undertakers  have  made  prompt  returns  of  deaths. 

9.  Clergymen  make  returns  of  marriages  promptly. 

Charles  F.  Easton,  Town  Clerk. 


181)i).  I  SKciiKTA  i;v's   hi:i'()|;t.  25 

XOKTII    IM!()\'II)I:N('K. 

1.  Notliiiijj:  tor  tlic  promotion  ol"  tlie  public  iii-altli  luis  been  doiu;  diiriiifj 
till'  year. 

2.  There  has  been  no  extension  of  the  i)ul)lie  water  service  of  this  town 
during  the  year. 

3.  Tliis  town  lias  no  sewage  system. 

6.  Sanford  E.  Kinnecom,  health  oflicer. 

7.  Gratuitous  vaccination  has  not  been  provided  during  tin;  year. 

8.  Undertakers  have  made  fairly  prompt  returns  of  deaths. 

9.  Clergymen  make  returns  of  marriages  promptly. 

Thomas  II.  Angkll,  Toio)).  Clerk. 

NORTH   .SMITHFIELD. 

1.  To  the  best  of  my  knowledge,  nothing  for  .the  promotion  of  the  public 
liealth  has  been  done  during  the  year. 

2.  This  town  has  no  public  water  service. 

3.  This  town  has  no  sewage  system. 

5.  This  town  has  no  legal  board  of  health  other  than  the  town  council. 

C.  Remington  P.  Capwell,  'SI.  D.,  health  officer. 

7.  Gratuitous  vacchiation  has  not  been  provided  during  the  year. 

8.  Undertakers  are  rather  slow  in  making  returns  of  deaths. 

9.  Clergymen  make  returns  of  marriages  promptly. 

Charles  S.  Seagkavk,  Town  Clerk. 

PAWTUCKET. 

1.  Nothing  for  the  promotion  of  the  public  health  lias  been  done  during 
the  year. 

2.  About  90  per  cent,  of  the  population  of  this  city  is  supplied  by  the 
public  water  service. 

The  following  extracts  are  taken  from  the  report  of  tin-  Roard  of  Public 
Works  : 

WATER  SERVICE. 

Snmmari/  of  rioiijiinfj  at  No.'i.  1,  2,  and  3  Station.'^  /or  (he  Year  Eudinn 

September  30,  1S90. 

Total  expenses  for  the  year $20,221  29 

Total  number  of  U.  S.  gallons  inuiiped  into  reservoir 2.227, 109,-.")17 

•1 


26 


STATE    BOAKD    OF   HEALTH. 


[1899. 


Total  cost  of  raising  1,000,000  gallons  into  reservoir $9.07 

Total  cost  of  raising  1,000,000  gallons  one  foot  high .031 

Average  daily  consumption  of  w^ater  in  U.  S.  gallons 6,101,642 

Maximum  daily  consumption  of  water  in  U.  S.  gallons 10,009,011 

Minimum  daily  consumption  of  water  in  U.  S.  gallons 2,766,748 

Respectfully  submitted, 

John  H.  Walker,  Chief  Engineer. 

Table  Showing  Amoimt  of  Bain  and  Melted  Snoio,  in  inches,  for  the  Year 
Ending  September  30,  1899. 


Days  of  Month. 

K 

w 

M 
O 

o 

O 

K 
W 

w 
1> 
o 

K 

« 
o 

P3 

1-5 

W 
o 
K 
< 

'"6!25 

s 

<5 

P 

1-5 

1-5 

E-i 
00 

<1 

K 

H 
PM 
H 

a 

iz; 
0 

IS 

0 

1 

M.26 

*0.14 

*+ 

1 

2 

0.25 

0.45 
0.38 

2 

3 

3 

4 

0.45 
+0.11 

4 

5 

0.87 

"o'so 

0.58 

'to'.ii- 

1.16 

1.29 

5 

6 

6 

7 

+1.07 

0.03 
0.34 

"6. "62 

7 

8 

0.11 

1.12 

0.81 

0.01 

0.05 

8 

9 

2.23 

9 

10 

10 

11 

"o.'si 

1.62 

0.245 

'6!637 

1.47 

"6!6i5 

■■6!69 

11 

12 

0.50 

0.04 

i0.07 

12 

13 

+2.65 

0.04 

13 

14 

"6!85 

6.20 

0.30 

0.01 

* 
0.287 

14 

15 

15 

16 

1.05 

6.375 
0.39 

tl.28 

1.105 

16 

17 

to.  51 

0.20 

17 

18 

18 

19 

0.96 

i.6G 

$1.99 

19 

20 

i0.31 

0.095 

6.05 
0.23 

20 

21 

0.09 

0.20 

21 

23 

2.00 

to. 71 
JO.  78 

0.35 

0.10 

22 

23 

0.80 

23 

24 

6.32 

0.40 

24 

25 

1:2.11 

1.510 

6. '925 

0.07 

0.123 

"6!2o 

25 

20 

+0.30 

6.40 

26 

27 

2.03 

t2.34 

0.42 

27 

2« 

28 

29 

+0.57 

"i.'88 

0.29 

0.93 

29 

30 

0.13 

to. 61 

1.65 

0.085 

80 

31 

31 

7.76 

7.04 

2.19 

5.05 

5.20 

7.60 

4.48 

2.03 

3.55 

4.80 

1.717 

8.98 

Total  rain,  60.39. 
Total  snow,  80  Indies. 
*  Too  small  to  measure. 
+  Snow. 
%  ISnow  and  rain. 


1899. J  seckktaky's  kkpokt.  27 

KILTKK    FIKLDS. 

Oiir  lilter  fields  have  continiu'd  to  dispose  of  tlie  sewage  of  the  Moslias- 
suck  river  section  in  a  satisfactory  manner,  yielding  an  eUhient  very  niucli 
pnrer  than  the  river  water  ever  is. 

The  amount  of  sewage  treated  this  year  has  been  larger  than  in  any 
previous  year.  Tho  work  of  the  phmt  is  sliown  in  detail  by  tlie  following 
tables. 

The  following  table  shows  the  number  of  gallons  of  sewage  received  and 
treated  at  the  plant  during  the  year  : 

Month.  Gallons  of  sewage.       A  v.  galls,  per  day. 

October,  1898 2,405,100  77,.'J84 

November,  1898 2,521,000  84,584 

December,  1898 2,645,500  85,-339 

January,  1899 3,370.640  108,730 

February,  1899 2,212,460  79,016 

March,  1899 2,344,600  75,632 

April,  1899 2,593,240  86,441 

May.  1899 1,801,280  58,106 

June,  1899 2,442,820  81,427 

July,  1899 2,859,260  92,234 

August,  1890 2,774,140  89,488 

September,  1899 2,796,860  93,228 

Total 30,766,900 

Average  number  of  gallons  per  day  lia.«  been  84,293. 


28 


STATE   BOARD    OF    HEALTH. 


[1899. 


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1899. 


SECUKTAKY  S    KKI'Oirr. 


29 


Tahle  shou-inu  Wnrkituj  nf  Beds  from  Dec.  1,  ISO.'f,  In  Oct.  1,  1899. 


V 

o 

a 

Cubic  yards  of  poor 
sand   removed    from 
Dec.  1,  1894,  to  Oct.  1, 
1899. 

>•?  o 

•§ss 

Average   depth    in 
inches  of  poor  sand 
removed  from  Deo. 
1.   1894,   to   Oct.    1, 
1899. 

Total  number  of  gal- 
lons of  sewage  let  on. 

1 
i 
Cubic  yards  of  poor    '• 
sand    removed    for 
each  l.OOO.OOOgalloDS 
of  sewage. 

1 

1 

2 
3 
4 
5 

67 
75 
65 
62 
94 
115 
78 
65 
59 
82 
60 
61 
61 

88.45 
83.  G8 
82.24 
84.61 

4 

'iH 

3% 

m 

4 

2^ 

3% 

•i% 

2 

2 

4,328.702 
4,539,130 

3,.556,871 
3,223,1. 54 
16.699,2.'J5 
9.237.314 
9,267.000 
9,924,898 
11,006,266 
10,837,635 
10,961,625 
9,606,782 
9,627,012 

15.49 
16.52 
18.27 
19.23 
5.63 
12.45 
8.42 
6.. 55 
5.86 
7.57 
5.47 
6.35 
6.34 

6 
7 
8 

16.81 

9 

10 

11 

12 

18 

944 

355.79 

112,810.734 

Average,  8.17 

Began  using  beds  1-2-5-6-7  regularly  on  December  1,  1894. 

Began  using  beds  8-9-1011  regularly  on  January  1,  1895. 

Began  using  beds  3-4  regularly  on  August  1,  1895. 

Began  using  beds  12-13  regularly  on  November  1,  1895. 

Began  using  bed  6  as  a  sludge  bed  in  August,  1898. 

Average  number  of  cubic  yards  of  poor  sand  removed  per  acre  of  filtering  area,  402.9. 

Average  depth  in  inches  of  poor  sand  removed  per  acre  of  filtering  area.  3. 

Average  number  of  cubic  yards  of  sludge  removed  per  1,000.000  gallons  sewage,  3.15. 

George  A.  Carpenter,  Cit;/  Ennineer. 

Total  length  of  water  mains  connected  with  the  Pawtucket 

water  works 144.38  miles. 

Capacity  of  pumphig  engines  12,000,000  gallons  per  24  hours. 
Water  pressure  in  Main  street  square  110  lbs.  per  square  inch. 

Total  length  of  sewers 48.8:>  miles. 

Total  length  of  electric  railways 2:].r)2  miles. 


3.  About  20.10  per  cent,  of  the  population  of  this  city  is  connected  with 
the  sewers. 

4.  (Rules  relating  to  the  removal  and  disposal  of  nightsoil  and  the  con- 
tents of  cesspools,  see  report  of  1898,  p.  22.)  (An  ordinance  relating  to  the 
registration  of  deaths,  see  report  of  Lsos.  p.  23.) 


30  STATE    BOARD    OF    HEALTH.  [1899. 

RULES   OF  THE   BOARD   OF  HEALTH. 

1.  All  complaints  relating  to  threatened  or  existing  nuisances,  or  to 
any  state  or  condition  of  things  which  is  or  may  become  deleterious  to 
health,  shall  be  made  to  the  health  officer  of  the  city. 

2.  It  shall  be  the  duty  of  the  health  officer,  whenever  such  complaint 
is  made  to  him  as  aforesaid,  to  investigate  said  complaint,  and  examine 
the  premises  complained  of  within  twenty-four  hours  from  the  time  such 
complaint  is  made. 

3.  If,  upon  such  examination,  in  his  judgment  a  nuisance  exists,  or  a 
condition  of  things  which  is  or  may  become  deleterious  to  health,  he  shall 
at  once  notify  the  owner  or  occupant  of  the  premises  to  cause  the  same  to 
be  abated  within  forty-eight  hours  from  the  time  of  notice,  and  in  case  said 
nuisance  is  not  abated  within  said  period,  the  health  officer  shall  make  his 
report  in  writing  to  the  mayor,  setting  forth  the  facts,  with  such  recom- 
mendation as  he  deems  advisable ;  and  if  the  mayor  deem  the  circum- 
stances of  the  case  to  require  it,  he  shall  at  once  call  a  meeting  of  the 
board  of  health  to  take  such  further  action  as  may  be  necessary  in  the 
premises. 

4.  The  health  officer  shall  make  a  report  in  writing  to  the  board  of 
health  at  least  once  in  each  month,  and  in  such  report  he  shall  set  forth 
the  number  of  complaints  made  under  these  rules,  and  his  action  thereon. 

5.  All  previous  rules  of  the  board  of  health  are  hereby  repealed,  and 
these  rules  shall  go  into  effect  immediately. 


1.  iSTo  person  shall  spit  upon  any  part  of  any  railroad  station,  railway 
station,  waiting-room,  steam-car,  electric-car,  public  building,  hall,  church, 
theatre,  market,  or  upon  any  sidewalk  within  the  limits  of  the  city  of 
Pawtucket. 

2.  Any  person  violating  the  preceding  rule  shall  be  fined  five  dollars  for 
each  offence. 

5.  This  city  has  no  legal  board  of  health  other  than  the  city  council. 

6.  Byron  U.  Eichards,  health  officer. 

7.  Gratuitous  vaccination  has  been  provided  during  the  year,  and  about 
1.5  per  cent,  of  the  population  has  availed  itself  of  the  same. 

8.  Undertakers  are  prompt  in  making  returns  of  deaths. 

9.  Clergymen  make  returns  of  marriages  promptly. 

Samuel  H.  Koberts,  City  Clerk. 


189t).] 


SKCKKTA  I:Y  S    K  KI'OK'I'. 


31 


PROVIDENCE. 

1.  A  hufje  ainomit  ol'  work  lias  been  coutemplatt'd  and  <'X('cut<'(l  dmiiifx 
tlie  year. 

2.  Extract  from  report  of  city  engineer  : 

The  population  of  the  city  is  estimated  at  l(is,()()(),  and  tin;  popnhition 
supplied  in  the  suburbs  is  estimated  at  10,900. 

The  number  of  meters  in  use  in  the  city  is  l."),i»i)o,  and  tiie  number  of 
meters  in  use  in  the  suburbs  is  1,134. 

The  number  of  service  pipes  in  use  in  the  city  is  19,.582,  and  tlic  number 
of  service  pipes  ui  use  in  the  suburbs  is  1,438. 

The  average  daily  use  of  water  per  service  for  the  year  1809  has  been  ATw 
gallons. 

The  average  daily  use  of  water  per  capita  for  the  j^ear  1809  has  been  .53 
gallons. 

The  water  receipts  for  1800  were  §.522,124.46. 

The  net  cost  of  maintenance  for  1809  was  $00,802.84. 

The  net  cost  of  the  water  works  construction  from  November  8,  1809, 
to  .Tanuary  ],  1900,  is  $6,43.5,568.24,  upon  which  there  has  been  a  revenue 
for  water  sold  of  88,878,214.35. 

The  monthly  and  annual  and  the  average  daily  and  monthly  consump- 
tion of  water  in  gallons,  including  waste  and  leakage,  during  the  year  is 
shown  by  the  following  table  : 


Months. 


January . . 
February. 
March  — 


April. 
May. . 


Consump- 
tion per 
Month. 


June. 


July 

August 

September. 

October 

November  . 
December. . 


Total 8,490,151,148    290.846.029 


293, 
2G6, 
276, 
255, 
284, 
335, 
810, 
313, 
291, 
283, 
278, 
293, 


020,144 
836,105 
339,616 
689,521 
535,106 
426,161 
431,534 
636,225 
101,392 
551.690 
033,930 
489,815 


Average 
monthly 
consump- 
tion. 


Average 
daily  con- 
sumption 
per  month. 


9.452,263 
9,529,861 
8,914,181 
8,522,984 
9.178,552 
11,160,872 
10,207,469 
10,117,298 
9.705,376 
9.146,829 
9.267,798 
9,531,930 


Average 
daily  con- 
sumption 

for  the 
year. 


9,582,068 


32  STATE    BOARD    OF    HEALTH.  [1899. 

The  amount  of  water  consumed,  shown  in  the  above  table,  mcludes  the 
supplying  of  about  thirty-four  miles  of  distribution  pipes,  located  in  ad- 
joining towns,  as  well  as  supplying  the  greater  part  of  the  State  institu- 
tions at  Cranston.  A  considerable  quantity  of  water  has  been  used  during 
the  year  for  irrigating  at  the  Dexter  Asylum,  and  also  upon  the  improved 
sewerage  system.  Also,  in  the  colder  months,  a  large  quantity  of  water 
has  been  run  from  the  distribution  pipes,  through  small  blow-offs  at  dif- 
ferent points  where  the  pipes  are  not  sufficiently  protected  in  crossing 
bridges  and  elsewhere,  for  increasing  the  circulation  in  order  to  prevent 
the  water  from  freezing  in  the  pipes. 

The  maximum  consumption  of  water  for  any  one  day  during  the  year 
1899  was  1.3,356,000  gallons. 

The  records  relating  to  meteorological  observations  have  been  kept  by 
this  department. 

Following  will  be  found  a  table  giving  a  summary  of  water  works  sta- 
tistics prepared  in  accordance  with  suggestions  adopted  by  the  iSTew 
England  Water  Works  Association  : 

SUMMARY   OF   STATISTICS. — REPORT  OF   1899. 

In  accordance  with  suggestions  adopted  by  the  ;N"ew  England  Waterworks 
Association.    Providence  Water  Works,  Providence  county  ,  E.  I. 

Population  of  Providence 168,000 

Estimated  population  supplied  in  suburbs 10,900 

Date  of  construction 1870  to  1876- 

By  whom  owned City  of  Providence. 

Source  of  supply Pawtuxet  river,  in  the  town  of  Cranston. 

Mode  of  supply: 

The  water  is  pumped  from  the  Pawtuxet  river  into  a  storage  reservoir 
located  upon  a  hill  about  one  mile  distant.  Erom  this  reservoir  it  flows 
into  the  city  by  gravitation,  directly  supplying  a  second  storage  reservoir 
within  the  city  limits,  and  also  that  portion  of  the  city  which  is  of  suffi- 
ciently low  elevation  to  be  served  by  gravitation.  To  supply  that  part  of 
the  city  of  too  high  an  elevation  to  be  served  by  these  reservoirs,  a  third 
reservoir  is  located  in  the  town  of  North  Providence.  The  water  is  pumped 
by  supplementary  pumping  machinery  from  the  second  reservoir  above 
mentioned  or  from  the  mains,  into  the  high  service  reservoir.  This 
supplementary  pumping  machinery  can  also  supply  the  high  service  dis- 
trict, if  the  reservoir  should  be  out  of  service,  by  pumping  directly  into 
the  mains. 


18!)!J.J 


.SHCKHTAUY  S    Ki:i'()KT. 


33 


111  addition  to  tlie  rcfjular  distiilmtioii  idpcs  tlicrc  is  an  indciH-iidfiit  liif^li 
l)ri'ssiir('  lire  systi'in  (diTiviiifj:  its  supply  fi-mii  the  lii^'li  service),  I'or  i)rotect- 
iu.H'  an  area  ol'  alxml  oiie-liaH'  of  one  s»iuare  mile  in  the  centre  of  tlie  Ijiisi- 
ness  portion  of  the  city. 

ITMl'IXG. 

1  IJuihlers  of  i»niiii)iii,L>'  machinery: 

<i.     \\'orthin,ntoii  Duplex  engine,  built  by  Henry  U.  Worthington. 
I).     Cornisli  engine,  built  by  Panlding,  Kemble  &  Co. 

c.  Corliss  A'ertical  engine,  built  by  (Jeorge  II.  Corliss. 

(/.     Worthington  Triple  Expansion   engine,   built  by  Henry  K.  Worth- 

ington. 

e.    Nagle  High  Service  engine,  built  by  the  Providence  Steam  Engine  Co. 

/.     Holly  High  Service  engine,  built  by  the  Holly  Manufacturing  Co. 

Wortliington  Nagle  Holly 

Triple  High  High 

Expansion.  Service.  Service. 

2  Description  of  coal  nsed  : 

a.    Hituminous.  Anthracite.  Anthracite, 

c Egg.  Egg. 

d.  George's  Creek  Beading  hard.  Reading  hard. 

Cumberland. 

e.  Price,  per  gross  ton  delivered, 

8:].98  ^5.04  .$5.17. 

(J.     Wood,  price  per  cord, 

s4..jO  $.").00  $.").00 

3.  Coal  consumed  for  the  year,  in  pounds, 

5,39.5,900  43,014  788,971 

Pounds  of  wood 

4.     consumed.     _coal  ill  pounds. 

3 
300  40  1,019 

5.  Total  fuel  consumed  for  the  year,  {3)-f-(4)  in  pounds, 

5,390,200  43,0.54  789,988 

0.     Total  pumpage  for  the  year  in  gallons, 

3,()92,751,000  22,749,951  .504,2.59, 180 

7.     Average  static  head  against  wliich  pumps  work, 

170.30  110.08  111.90 

S.     Average  dynamic  liead  against  which  i)umps  work, 

17(i.4(i  117.23  120.47 

9.     Number  of  gallons  pumped  per  pound  of  coal  (3), 

084  529  *  639 


34  STATE    BOAKD    OF   HEALTH.  [1899. 

10.  Duty  in  foot  pounds  per  100  pounds  of  coal,  using  following  formula, 
making  no  deductions  for  starting  or  banking  fires,  heating  buildings,  or 
anything  else. 

Duty Oallons  pumped.  (6)  x  8.34  (lbs.)  x  100  x  dynamic  head  (8i 

Total  fuel  consumed  (5). 

100,710,400  51,662,100  67,326,600 

Cost  of  Pumping,  Figured  on  Pumping  Expenses,  Including  Cost 
OF  Fuel,  Salaries,  Oil,  Waste,  and  other  Supplies,  Cleaning  Ex- 
GiNES  AND  Houses,  and  Repairing  Machinery  and  Boilers,  was 
$15,750.84  FOR  THE  Low  Service,  and  $5,599.92  for  the  High  Service. 

11.  Per  million  gallons  raised  against  dynamic  head  (8)  into 

low  service  reservoir,  the  cost  was $4.27 

Into  high  service  reservoir  (pumped  twice,  $4,27+$10.63)  14.90 

12.  Per  million  gallons  raised  one  foot  high  (dynamic),  low 

service  the  cost  was 0.0242 

High  service  (pumped  twice,  $0.0242 -t- $0.0843),  the  cost 

was+ 0.1085 

Xet  cost  of  works  to  date $6,435,568.24 

consumption. 

1.  Estimated  total  population  of  district  at  date 178,900 

4.  Total  number  gallons  consumed  for  year 3,490,151,148 

7.  Average  daily  consumption 9,562,058 

8.  Gallons  per  day  to  each  inhabitant 53 

10.  Gallons  per  day  to  each  tap  (distribution  22) 455 

distribution. 

MAINS.* 

1.  Kind  of  pipes  used Cast  iron. 

2.  Size From  6  to  3  inches. 

3.  Extended 19,645.57  feet. 

4.  Discontinued ■ 768.93  feet. 

5.  Total  now  in  use  t 318,4279  miles. 

8.  Small  distribution  pipes,  less  than  four  inches,  total 

length None 

*  Not  including  high  pressure  fire  service. 

+  Includes  10,084  feet  of  36-inch  pipe,  561  feet  of  30-inch  pipe,  and  695  feet  of  24-inch  pipe, 
which  are  force  mains,  and  19.66  feet  bf  30-inch  pipe,  and  19,478.46  feet  of  24-inch  pipe,  which 
are  used  both  as  a  force  and  delivery  main. 


1S99.]  secretary's  report.  35 

1).  Ilydiiuits  added  * 39 

10.  Number  now  in  usi-  * 1,854 

1 1 .  Stop  pates  added 46 

IL'.  Xiiinl)er  now  in  use 3,331 

14.  Number  of  blow-off  gates ■             32 

1.").  l{aiif,fe  of  pressure  on  mains  at  centre  of  city  for  day 

and  niglit 04  to  73  lbs. 

IIIOII    I'KK.SSURE   FIRE  SERVICE. 

Kind  of  pipes  used Cast  iron. 

Size  12,  l(i,  and  24  incli. 

Total  now  in  use  t 5.5008  miles. 

II ydrants  added 1 

Xumber  now  in  use 92 

Stop  gates  now  in  use • 31 

Number  of  blow-off  gates 4 

Pressure  on  mains  at  center  of  business  portion  of  city  for 
day  and  night 114  lbs. 

SERVICES. 

10.     Kinds  of  pipe  used Lead  from  i  to  li  inches,  and  cast  iron. 

17.    Size From  i  to  10  inches. 

21.  Services  added 006 

22.  Xumber  now  in  use 21,020 

25.    Meters  added 730 

20.     Number  now'  in  use 17,124 

27.    Elevator  supplies  added 8 

2S.  Number  now  in  use,  134  of  4  and  0-iuch,  and  20  smaller 

supplies  connected  to  house  elevators. 

HEMAKKS. 

The  Cornish  engine  was  not  run  during  the  year. 

The  Worthington  Duplex  engine  was  not  run  during  the  year. 

The  Corliss  Vertical  engine  was  not  run  during  tiie  year. 

The  Worthington  Triple  Expansion  engine  was  run  on  317  days. 

The  Nagle  engine  was  run  on  17  days. 

The  Holly  engine  was  run  on  301  days. 

♦  Not  including  high  pressure  fire  service. 

%  No  connections  of  any  description  except  for  city  fire  hydrants. 


36  STATE    BOARD    OF   HEALTH.  [1899. 

The  work  in  this  department  was  in  charge  of  Edmund  B.  Weston, 
assistant  engineer,  until  May  1st,  when  he  resigned.  Irving  S.  Wood, 
assistant  engineer,  has  been  in  charge  since  tliat  time.  ■    . 

SEWAGE   SYSTEM. 

The  construction  of  the  precipitation  tanks,  section  two,  has  been 
brought  nearly  to  a  close,  there  remaining  only  the  finishing  touches  and 
cleaning  up  to  do  in  the  spring.  The  88-inch  conduit  has  been  extended 
from  its  former  end,  near  the  pumping  station,  to  the  tanks.  The  sludge 
press  house  is  now  ready  for  the  roof,  and  the  sludge  storage  reservoirs 
are  nearly  completed.  Most  of  the  machinery  necessary  for  operating  the 
plant  has  been  contracted  for,  and  some  of  it  delivered. 

Plans  for  the  other  buildings  necessary  to  the  plant  are  in  process  of 
completion,  and  it  seems  probable  that  the  time  is  not  far  distant  when 
the  process  of  precipitation  may  be  begun. 

Near  the  pumping  station  a  screen  house  has  been  built  and  connected 
with  the  rider  sewer  of  section  five,  for  the  purpose  of  screening  the 
coarsest  of  the  material  from  the  sewage  of  the  Elmwood  district  before  it 
reaches  the  tanks. 

The  pumping  machinery  has  run  in  a  very  satisfactory  manner  throiigh- 
out  the  year,  and  the  record  shows  a  gain  in  total  quantity  pumped, 
caused  by  the  connections  made  with  section  twenty-one  and  twenty-two, 
as  before  mentioned. 

The  total  gallons  pumped  for  the  year  is  estimated  at  5,101,046,934,  at 
an  expense  for  labor,  fuel,  work  in  screen  chamber,  and  all  other  charges, 
of  $12,283.37,  or  $2,41  per  million  gallons  pumped,  or  $.0888  per  million 
foot  gallons  pumped.  The  average  amount  pumped  daily  is  shown  by  the 
following  table  : 

Daily  average  for  the  year 15,483,842  gallons. 

Daily  average  for  wet  weather,  or  days  in  which  the  rain  fall  was  enough 

to  visibly  affect  the  quantity  pumped 17,709,905  gallons. 

Daily  average  for  dry  weather 13,824,355  gallons. 

Sunday  average  for  dry  weather 8,504,696  gallons. 

Number  of  wet  days 86 

Number  of  dry  days 279 

This  department  has  been  charge  of  John  E.  Bowen,  assistant  engineer. 

PUBLIC    PARKS. 

There  are  .532,017  acres  of  land  devoted  to  the  purpose  of  public  parks.  . 
The  largest  park,  known  as  Roger  Williams  park,  contains  422,423  acres. 


1899.]  secretary's  kki'out,  37 

of  whifli  117.44  acres  is  covered  with  water,  roriniii},'  a  series  of  lakt-s.  In 
tliese  lakes  are  to  he  fonml  live  islands,  tiie  hirj,'est  containiu^  al)o\it 
tliirty-five  acres. 

Otis  V.  Ci.Ai'i',  ('il;i  Eiif/hieer. 

:>.  Tiie  hoard  of  aldermen  is  tlii'  hoard  of  iiealtli.  Dr.  Ciiarles  \'. 
Cliapin  is  the  superintendent  of  health. 

7.  Cratuitous  vaccinations  were  afforded  to  a  large  number  of  school 
children,  and  a  certain  number  of  adults  were  vaccinated.  A  detailed 
report  of  this  work  will  be  found  under  the  report  of  the  health  oHieer. 

SCITUATE. 

1.     Xotliing  for  the  promotion  of  the  public  health  has  been  done  during 
the  year. 
•2.    This  town  has  no  public  water  service. 
;).    This  town  has  no  sewage  system. 

.").    This  town  has  no  legal  board  of  health  other  tlian  the  town  council, 
(j.    Alberto  E.  Wood,  health  oOicer. 

7.  Gratuitous  vaccination  has  not  been  provided  in  this  town  during 
the  year. 

8.  Undertakers  make  prompt  returns  of  deaths. 

0.  Clergymen  make  returns  of  marriages  promptly. 

Damkl  U.  Rkmixgtox,  Toim  Clerk. 

SMITH  IT  ELD. 

1.  Nothing  for  the  promotion  of  tlie  public  health  has  been  done  duriirg 
the  year. 

4.    (Nuisance  and  contagious  disease  ordinances,  see  report  of  18!t4, 
pp.  48-.-50.) 
.").     This  town  has  no  legal  board  of  health  other  than  the  town  council. 
0.    Jencks  Smith,  health  otlicer. 

7.  Gratuitous  vaccination  has  not  been  provided  during  the  year. 

8.  Undertakers  make  prompt  returns  of  deaths. 

Osc  Ai;  .\.  T(»ni:v.  Tturn  Clerk: 


38  STATE   BOARD   OF  HEALTH.  [1899. 

WOONSOCKET. 

3.  The  aggregate  length  of  sewers  in  this  city  is  H  miles.  About  one- 
thirtieth  of  the  population  is  connected  therewith. 

The  following  extracts  are  from  the  report  of  the  superintendent  of 
water  works  department: 

REPORT    OF    SUPERINTENDENT. 

I  have  prepared  the  usual  statistical  tables  which  give  in  detail  the 
work  of  the  department  during  the  year. 

The  pumping  station  and  contents  are  in  good  condition.  The  amount 
of  water  pumped  the  past  year  has  increased  about  10  per  cent,  over  last 
year.  If  this  increase  continues  it  'will  be  necessary  to  enlarge  our 
pumping  plant  in  the  near  future. 

The  supply  of  water  has  been  ample,  but  the  quality  has  not  been 
satisfactory  during  the  summer  months.  With  the  receipts  of  the 
department  more  than  sufficient  to  pay  the  maintenance,  the  surplus 
would  pay  the  interest  and  cost  of  maintenance  of  a  filtration  plant; 
and  in  view  of  these  facts  I  would  recommend  that  during  the  coming 
year  investigations  be  made  as  to  the  best  method  of  Altering  the  water 
supply. 

In  compliance  with  your  instructions  I  engaged  Stone  &  Webster, 
electrical  engineers,  to  make  an  electrical  survey  of  the  water  mains. 
Their  report  to  me  is  annexed  to  this  report.  You  will  observe  that  the 
amount  of  electricity  flowing  over  the  water  mains  is  large,  and  voltage 
is  above  the  average  found  in  the  various  cities  where  they  have  made 
examinations.  Their  recommendation  "  that,  wherever  the  main  pipers, 
and  particularly  the  service  pipes  along  railway  streets  within  half  mile 
of  the  power  house,  are,  on  account  of  excavations,  for  any  purpose 
esrposed  to  view,  you  will  note  the  condition  of  pipe  and  soil,"  I  have 
carried  out,  and  during  the  construction  of  the  Main  street  sewer  I 
examined  all  exposed  pipes  and  have  found  many  places  where  electro- 
lytic action  was  taking  place.  I  found  several  places  where  cast  of 
quarter  of  an  inch,  several  service  pipes  showing  corrosion,  lead  joints  of 
the  hydrant  branches  show  electrolytic  action.  The  cause  of  this  trouble 
is  the  electric  current  escaping  from  the  rails  of  the  St.  R.  R.  Co.,  and  if 
allowed  to  continue,  will  in  time  prove  serious  and  expensive.  There  is  a 
remedy— the  Woonsocket  Street  Railway  Co.  should  be  compelled  to  so 
construct  their  tracks  that  the  leakage  of  electricity  should  be  reduced 
below  the  danger  point. 


1801).  J  SKCKETAIiV's    liKI'ORT.  39 

Duriiip  tlic  year  the  reservoir  Xo.  :j  lias  been  drawn  to  a  point  .'{.s:}  feet 
below  tilt'  overllow,  and  at  the  present  time  it  is  '2.')  feet  below. 

Uyhon  I.  Cook,  Siqyerintendent. 

i!i:roi:r  ro  r.vnoN  i.  (ook,  supkkintkndknt  watku  works,  on  klkc 

TROl.VrU       INVKSTKJATIOX     OF    WATKIt     I'lIMNO   SVSTK.M    WOONSOCKKT, 
K.    I. 

Stonk  &  Wkhstkk,  Boston,  Mass. 
Bi/ron  I.  Cook,  E.s(j.,  Superintendent  Water  Work.s,  Woonsocket,  li.  I.: 

Dkar  Sir  :— At  your  request  we  have  made  an  electrical  survey  of  the 
water  piping  system  of  Woonsocket,  to  determine  in  a  general  way  the 
probability  of  serious  deterioration  of  the  pipes  from  electrolytic  action 
now  going  on,  owing  to  current  escaping  from  the  street  car  rails. 

We  have  found  from  the  measurements  taken,  indications  that  the  cur- 
rent Hows,  in  quantities  varyhig  from  small  to  large  accordmg  to  the  mun- 
ber  of  cars  moving,  first  from  rails  to  pipes  and  then  back  on  the  rails 
again  in  finding  its  way  by  the  easiest  path  to  the  power  house.  The  places 
where  it  leaves  the  pipes  are  the  only  ones  where  electrolytic  action  will 
take  place  :  hence  only  in  the  region  of  the  power  liouse,is  trouble  likely 
to  occur,  except  under  conditions  which  we  do  not  need  to  consider  in  this 
case. 

As  we  were  not  asked  to  make  a  complete  investigation,  we  did  not  have 
any  holes  dug  for  the  purpose  of  examining  the  condition  of  pipes  and  soil 
in  the  power  station  district,  the  place  where  trouble  would  naturally  be 
expected  and  where  the  voltmeter  readings  showed  indications  that  it 
might  well  occur.  We  understand,  moreover,  that  there  lias  been  no  case 
in  the  city  where  a  water  pipe  has  been  known  to  be  eaten  througli  and 
therefore  become  unfit  for  use,  owing  to  electrolysis. 

Within  the  conditions  to  which  we  were  limited,  however,  we  have  found 
out  enough  to  lead  to  the  conclusion  that  there  is  likelihood  of  the  water 
pipes,  particularly  the  lead  service  pipes,  now  undergoing  serious  corrosion 
in  places  along  the  electric  railway  streets  near  the  power  house.  If 
trouble  is  apparent  it  will  probably  be  found,  not  along  a  large  section  of 
pipe,  but  limited  to  short  lengths  of  a  few  feet  or  even  a  few  inches,  de- 
pending largely  upon  the  condition  of  the  soil.  A  dry  soil  is  almost  a  non- 
conductor of  electricity. 

As  a  result  of  our  hivestigation  we  recommend  that  wherever  the  main 
pipes,  and  particularly  the  service  pipes,  along  railway  streets  within  a 
half  mile  of  the  power  house  are,  on  account  of  excavations  for  any  i)ur- 
pose,  exposed  to  view,  you  note  the  conditions  of  pipes  and  soil,  and  that 
you  always  preserve  for  future  comparison  ayy  ineces  of  i)ii)e  which  you. 
take  out  of  the  ground  which  seem  to  have  sulVered  from  corrosion  «if  any 
kind.  We  further  recommend  that  you  continue  to  take  voltmeter  read- 
ings as  you  have  before,  as  they  are  likely  to  be  of  value  for  compari- 
son. 

The  list  of  readings  in  the  appendix  to  this  report  will  probably  be  use- 
I'ul  to  refer  to  in  keeping  watch  of  tlie  conditions  of  your  piping  system 


40  STATE   BOARD    OF    HEALTH.  [1899, 

from  now  on.  So  long  as  no  manifest  case  of  electrolytic  action  has  ap- 
peared, you  will  hardly  have  sufficient  ground  for  complaint  against  the 
street  railway  company  for  threatened  damage  ;  but  if  trouble  from  elec- 
trolytic action  once  begins  we  believe  from  the  conditions  noted  that  it 
will  break  out  frequently,  and  that  the  data  with  which  you  will  be  pro- 
vided will  serve  for  good  evidence  of  the  cause  of  trouble.  We  believe 
that  any  action  which  the  railway  company  might  now  take  to  better  con- 
ditions is  simply  what  it  ought  to  do,  and  not  what  it  is  bound  to  do. 

Yours  very  truly, 

Stone  &  Webster. 

appendix  a. — record  of  voltmeter  readings. 

Electrolytic  Investigation  of  Water  Piping  System  in  Woonsocket,  R.  I. 
(Appendix  to  report  to  Byron  I.  Cook,  Superintendent.) 

Hydrant  to  rail  maximum  readings  5-15-99,  10  A.  M. 

Main  street  opposite  No.    28  :  -f  6  fluctuating  and  dropping  off. 

Main  street  opposite  Ko.  165  :  +  2  to  -f  4. 

Main  sjbreet  opposite  No.  238  :  -h  4  to  —  2  car  passing  makes  it  —  . 

Monument  square  and  Blackstone  +  1.    No  carnear. 

N.  Main  st.  opp.  275  :X4to  —  6(  —  6  =  with  car  coming  (  up  hill :  + 

when  car  stopped.) 
Blackstone  and  W.  School :  +  2  to  —  1  mostly  +,  no  car  near.  - 
Harris  av.  last  in  Woon.  -i-  1  to  —  4  largest  —  when  car  is  climbing  hill. 
South  Main  and  Glenark  :  —  2  to  —  5  car  climbing  hill ;  —  1  with  no  car  near. 
South  Main  at  Old  Bank  Village  +  1.5  to  —  13  last  in  Woonsocket. 
South  Main  opp.  Woonsocket  Hill  Rd.  :  0  to  —  12  car  passing  up  hill. 
Providence  st.  last  in  Woon.  :  -i-  2  to  —  6  —  with  car  passing  ;  -i-  with  no 

car  near. 
Park  avenue,  last  in- Woon.  +  1.5  to  —  1  no  car  near. 
Cass  avenue  at  Mendon  Rd.  :  —  5  to  —  50  ace.  to  car. 
With  car  stopped  nearby  :  —  20  +  quite  steady  showing  disturbance  from 

other  car  perhaps  a  mile  off. 
Social  St.  and  Diamond  Hill  Rd.  :  -h  2.2  to  —  6  ;  —  with  no  car  climbing 

up  hill. 
Reading  taken  for  several  minutes  :  -t-  2.2  to  1  most  of  time  with  no  car  near. 
Cumberland  st.  at  Kendrick  ave  :  —20  to  —  2  ace.  to  car ;  quite  steady  at 

—  20  with  car  climbing  hill. 
Little  or  no  reading  to  ground  at  pumping  station. 
In  front  of  Manville  Co's  office  :  —  20  to  —  50  with  car  moving  ;  0  with 

car  still. 


—28 

6 

10 

20 

32 

8 

34 

24 

24 

1(5 

20 

2 

16 

1 

0 

20 

1 

2() 

28 

1 

16 

28 

12 

10 

0 

26 

20 

30 

9 

26 

18 

30 

0 

30 

6 

38 

16 

38 

18 

44 

20 

40 

10 

0 

14 

0 

1 

18 

20 

0 

28 

16 

1899,]  secretary's  report.  41 

Reading  to  river  close  by  about  same,  only  in  opposite  direction. 

Court  and  Main  streets  :  -t-  2  to  -f-  7,  (10  min.  reading,  hydrant  to  ground 

+  .2). 
Cass  av.  at  Mendon  lid.  Readings  taken  every  10  seconds  lor  aljout  10 
minutes  with  car  going  towards  Manville  : 
28 
32 
32 
34 
34 
34 
24 
24 
26 
32 
30 
32 
36 

Keadhigs  taken  every  10  seconds  for  about  four  miuutes,  with  car  going 
towards  Woonsocket : 
—30  36  0  0  20 

28  44  0  0  30        • 

26  50  18  10  36 

30  20  16  8 

30  0  18  20 

Cumberland  street  at  Kendrick  avenue  —  10  to  20. 
Rail  to  river  +  10  to  +  20,  about.  Hydrant  to  river  almost  0. 
Main  st.  near  P.  S.,  opp.  Xo.  32,  +  3  to  +  12. 

10  second  Readings  for  about  6  minutes  : 
-1-8  9  2  6  8 

8  4  2  4  0 

6  8  4  5  6 

6  5  6  6  6 

8  8  8  6  6 

7  6  8  6  7 

9  4  7  5  8 

Court  and  Front  streets,  3:30  p.  m.     Points  at  which  needle  stopped 
without  reference  to  time.     Readings  taken  every  few  seconds  : 
+  1  (i  2  5  6 

4  5  5  5  * 

6 


43  STATE    BOARD    OF   HEALTH.  [1899. 

6.5  i  4  6  5 

4  i  6  6  4 

6-1  6  6  3 

2  4  6  6  4 
4                        5  5  4  4 

3  4  6  4  5 


KEADINGS  TAKEN  ALONG  SECTIONS  OF  TRACK. 

5-24-99,  12  M.  About  1,000  feet  in  either  direction  from  corner  of  Cass 
avenue  and  Mendon  Eoad ;  about  2  volts  drop  along  track  with  cars  in 
the  neighborhood.  (=.2  per  100  feet,  maximum.) 

2:20  P.  M.  Social  street,  from  Diamond  Hill  Eoad  to  Elm  street,  along 
track,  distance  about  2,000  feet :  +  i  to  -i-  1  —  i,  towards  city.  Car 
climbing  hill.    (=.075  per  100  feet,  maximum.) 

3:15  P.  M.  Harris  avenue,  about  2,000  feet  of  track  a  little  north  of 
Winter  street :  +  1  to  -h  3  (mostly  1)  toward  Woonsocket ;  cars  passing. 
(=.15  per  100  feet,  maximum.) 

6-20-99,  11  A.  M.  South  Main  street,  about  2,400  feet  of  track.  Ballon 
street  to  junction  of  Old  Bank  and  Woonsocket  Hill  Eoads  ;  maximum  of 
6>ol^s  towards  Woonsocket.  Car  probably  in  section.  (=.25  per  100  feet, 
maximum.) 

About  2,400  feet  of  track  beyond  the  last  to  Charlie  Paine's  Hill ;  4  to  6. 
Car  passing  up  hill  into  section.  (=.25  per  100  feet,  maximum.) 

12  M.  Park  avenue  from  last  hydrant  along  about  2,400  feet  of  track 
north,  2  to  8  towards  city.  Eeading  taken  for  about  five  minutes.  Car 
going  out  from  city.     (=.33  per  100  feet,  maximum.) 

2:30  P.  M.  Joe  Cook's  Hill,  about  2,400  feet  of  track  ;  -M  to  —  i.  +  = 
towards  Woonsocket.  Probably  did  not  get  full  strength  of  current, 
as  line  was  taken  off  before  car  climbed  steep  hill.  (.04  per  100  feet, 
maximum.) 

3:30  P.  M.  Manville  Hill,  2,400  feet  of  track  :  -f-  4  to  —  i.  +  =  towards 
Woonsocket.  Eeading  was  —  when  car  was  coming  up  hill  from  Woon- 
socket.   (=^.17  per  100  feet,  maximum.) 

4:30  P.  M.  Mendon  Eoad,  2,400  feet  north  from  Walker's  Switch  ;  —  3 
to  +  1.  —  =  towards  Woonpocket.  Car  coming,  probably.  (=.13  per 
100  feet,  maximum. 


1899. 


SECRETAUY  S    Illil'OUT, 


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44  STATE   BOAED   OF   HEALTH.  [1899. 

SUMMARY    OF    STATISTICS  ;     WOONSOCKET    WATER    WORKS    DEPARTMENT, 
CITY    OF    WOONSOCKET,     COUNTY    OF    PROVTDENCE,    STATE    OF    RHODE 

ISLAND. 

Population,  1899 25,000, 

Date  of  construction '. 1884. 

Source  of  supply Crook  Falls  Brook. 

Mode  of  supply Pump  to  tanks. 

1.    Builders  of  Tanks. 
ISTo.  1.     Cunningham  Iron  Works,  30  feet  high,  50  feet  diameter  442,780 

gallons. 
]Sro.  2.    Porter  Manufacturing  Co.,  35  feet  high,  50  feet  diameter,  515,310 

gallons. 
ISTo.  3.    E.  Hodge  &  Co.,  30  feet  high,  76  feet  diameter,  1,020,705  gallons. 
Total  capacity 1,978,795  gallons. 

2.  Builders  of  pumping  machinery  \  %ll^^  ii^^^^'iZftl  ■ 

fa.  Bituminous  coal,  American  Co.'s. 
b.  George's  Creek,  Maryland  Co.'s. 

3.  Description  of  coal  used<i  c.  $4.01  (2,200). 

d.  6.5^  Ash. 
[e.  Wood  $3.00  per  cord. 

4.  Coal  consumed  for  the  year 1,101,150  lbs. 

5.  Pounds  of  wood  consumed  for  the  year  (754  -H-  3) 251  lbs. 

6.  Total  fuel  consumed  for  the  year,  (4  +  5) 1,101,401  lbs. 

7.  Total  pumpage  for  the  year  in  gallons 292,314,210. 

8.  Average  static  head  against  which  pump  works 237,909  feet. 

9.  Average  dynamic  head  against  which  pump  works 239,063  feet. 

10       Dutv  Gtallons  pumped  (6)  x  834  x  100  x  dynamic  head  (8)  (.  fi9  qi  '  407 

•'  Total  fuel  consumed  (5)  no  allowance  ' ' '      ' 

11.  Pounds  of  coal  per  million  gallons  pumped,  3,767  lbs., 

cost  of  pumping  figured  on  pumping  station  expenses, 

viz $3,728  45 

12.  Per  million  gallons  raised  against  (dynamic)  head  into 

tanks $12  75 

13.  Per  million  gallons  raised  1  foot  high  (dynamic)  .053  cost 

of  pumping  figured  on  total  maintenance,  viz $30,473  83 

14.  Per  million  gallons  raised  against  (dynamic)  head  into 

tanks $104  25 

15.  Per  million  gallons  raised  1  foot  high  (dynamic) $.43 

16.  Amount  received  for  1,000  gallons  based  on  pumpage 

and  total  revenue,  viz  :  $64,896.87 $.222 


1899.]                              secki:tauy's  in: pout.  4^ 

CONSUMPTION. 

1.  Estimated  total  population  (includin}?  ^[aiiville  exten- 

sion)    2H,500 

2.  Estimated  population  on  lines  of  pipe 2(5,500 

3.  Estimated  population  supplied 20,000 

4.  Total  gallons  consumed  for  tiie  year 292,241,970 

5.  Average  daily  consumption 800,922 

0.  fJallons  per  day  to  each  inhabitant  (1) 28 

7.  Gallons  per  day  to  each  consumer  (3) 22 

8.  Gallons  per  day  to  each  tap  (distribution  services  7) 380 

FINANCIAL. 

In  accordance  rcith  sicggestions  of  the  New  England  Water  Works 

Association. 

DIVISION  I.— MAINTENANCE. 

Beceipts. 
From  consumers. 

A.     Water  rates,  domestic $30,461  47 

iJ.     Water  rates,  manufacturers 7,842  35 

c.    Xet  revenue  for  water $44,303  82 

D.  Miscellaneous, 

(rents,  repairs  and  sales) 99  96 

E.  Total $44,403  78 

Due  from  public  funds, 

F.  Ilj'drants $15,812  50 

G.  Fountains 1,640  44 

H.    Street  watering 1,914  73 

1.  City  departments 294  80 

J.     Public  buildings 824  62 

K.    General  appropriation 12,000  oo 

L.    Gross  revenue $76,896  87 

Expenditures. 

A.  A.    [Management  and  repairs  (book  account^ $12,-372  30 

B.n.     Interest  on  net  cost  Xov.  30,  1898 18,101  53 

c.c.    Total  maintenance  for  the  year $30,473  8:^ 

D.I),    balance 40,423  04 

Total $76,89(i  S7 


46  STATE   BOAED   OF   HEALTH.  [1899. 


DIVISION  II. — MAINTENANCE. — Continued. 

From     i  M.    Domestic,  $2,092.37,  not  including  water  for  city. 

fixed      < 

rates  :    (  N.    Manuf  actvirina' . .  0 


O.  $2,092  37 

From     ^  p.  Domestic 34,369  10 

meter    ] 

rates:    (  Q.  Manufacturing..  7,842  35 


R.     Total $44,303  82 

PUMPING  STATION. 

Boilers. 

1.  Type,   horizontal  tubular;  number  of  boilers,  three;    size  of  two, 

4  feet  6  inches  x  14  feet ;  size  of  one,  6  feet  4  inches  x  16  feet  2  inches. 

2.  Grate  area 50.5  square  feet. 

3.  Steam  pressure  carried 55.6  lbs. 

Pumjos. 

4.  Type  —  One  Worthington,   compound,   duplex,   direct    acting,    with 

independent  condenser. 

Capacity — One  million  gallons  in  24  hours. 

5.  Type — One  Worthington,  high  pressure,  duplex,  direct  acting,  with 

independent  condenser. 

Capacity — One  million  gallons  in  24  hours. 

6.  Type— One  Deane,  compound  duplex,  direct  acting,  with  independent 

condenser. 

Capacity — Two  and  one-half  million  gallons  in  24  hours. 
Capacity  per  revolution,  as  used  in  calculating  duty  (Deane), 
70,000  gallons. 

8.  Static  head  on  pump  (Deane) 237,909  feet. 

9.  Dynamic  head  on  pump  (Deane) 239,063'feet. 

10.  Number  of  days  pumping 318  days. 

11.  Total  pumping  time  in  hours 2,866.50  hours. 

12.  Average  pumping  time  per  days 9.01  hours. 

13.  Average  number  gallons  pumped  per  days  run 919,227  gals. 

14.  Average  number  gallons  pumped  per  hour  run......  101,976  gals. 

15.  Total  pumping  station  expenses,  not  including  fuel. . .  $1,823  45 


1899.] 


SECUETAKY  S    UK  TOUT. 


47 


MONTH  LV    CONSUMl'TION. 


Avfj.  Consumption. 

AvR.  Consumption, 

Total  AvR.  Dally 

Total  f '"iisunip 

Month. 

0  I'.  M.  to  0  A.  M. 

6  A.  .M.  to  6  P.  M. 

Consumption. 

tion  for  Month 

Dec... 

2().-),0:}8 

485,820 

091,704 

21,444,098 

Jan 

195,539 

475,725 

071,264 

20,809,185 

Feb.... 

220,100 

508,703 

734,803 

20,574,493 

Marcli  . 

201,605 

477,333 

078,998 

21,048,977 

April  . . 

201,002 

512,021 

713,023 

21,390,692 

:\ray ... 

255,767 

580,005 

842,702 

26,024,919 

J  line . . . 

271,172 

731,103 

1,002,335 

30,070,068 

July  . . . 

234,853 

634,750 

869,603 

26,957,723 

Aug. . . . 

•     231,278 

001,080 

892,964 

27,690,808 

Sept. .. . 

226,853 

024,779 

851,632 

25,548,937 

Oct.  ... 

232,297 

591,409 

823,706 

2.5,534,988 

Xov. . . . 

240,540 

588,073 

838,213 

25,140,401 

.Total 

2,732,004 

08,790,003 

9,011,007 

202,241,970 

Av'gs 

227,607 

573,255 

800,922 

24,353,498 

TOTAL    VKARLY    COXSL'MPTIOX   FROM   1885   TO    1899. 

1S85 53,884,669  gallons. 

1880 88,024,040 

1S87 98,507,585 

1888 . .  0  months 74,158,335 

1889 101,152,979 

ISOO 120,32.5,803 

1801 131,770,308 

1S02 153,527,852 

1893 204,208,187 

1894 205,080,010 

1 895 225,203,830 

1890 250,429,005 

1897 271,230.500 

1898 209,505,878 

1899 292,241,070 


KAINFALL   AT   PUMPING   STATION. 

December -j  .37 

January 5.10 

February ;j .  72 


48  STATE    BOARD    OF    HEALTH.  [1899. 

March 6.51   inches. 

April '. .  2.23 

May 1 .27 

June 3.57        " 

July 5.06 

August 1 .96 

September 6.27        " 

October 1 .73 

ISTovember 2.97        " 

Total " 42.92 

6.  William  C.  Monroe,  M.  D.,  Leonard  S.  Allen,  and  Henry  A.  Barsalou, 
health  officers. 

7.  Gratuitous  vaccination  has  not  been  provided  in  this  city  during  the 
year. 

8.  Undertakers  make  prompt  returns  of  deaths. 

9.  Clergymen  make  returns  of  marriages  promptly. 

AVjlliam  C.  Mason,  City  Clerk. 


WASHINGTON  COUNTY. 

CHARLESTOWK 

1.  Kothing  for  the  promotion  of  the  public  health  has  been  done  during 
the  year. 

2.  This  town  has  no  public  water  service. 

3.  This  town  has  no  sewage  system. 

4.  There  were  no  new  sanitary  ordinances  adopted  during  the  year. 

5.  This  town  has  no  legal  board  of  health  other  than  the  town  council. 

6.  H.  Yemon  Weaver,  M.  D.,  health  officer. 

7.  Gratuitous  vaccination  has  not  been  provided  in  this  town  during 
the  year. 

8.  Undertakers  make  returns  of  deaths  promptly. 

9.  Clergymen  are  fairly  prompt  in  making  returns  of  marriages. 

George  C.  Cross,  Toimi  Cleric. 


18'J1).|  SECKlvTAIiY's    KEl'OllT.  49 

EXETER. 

1.  Not  liini;'  lor  tlic  p  ion  nil  ion  of  tlic  piililic  licaK  li  lias  liccii  done  duriiij,' 
tlif  year. 

2.  This  town  lias  no  i)ublic  water  service. 
.3.    This  town  has  no  sewage  system. 

4.  There  have  been  no  new  sanitary  ordinances  adopted  during  tlie  year. 

5,  Tliis  town  has  no  legal  board  of  health  other  tlian  the  town  coinicii. 

7.  (iratuitous  vaccination  has  not  been  provided  in  this  town  during  tlie 
year. 

8.  Undertakers  make  fairly  prompt  returns  of  deaths. 

9.  Clergymen  make  returns  of  marriages  promptly. 

John  R.  Edwakds,  Tonm  Clerk. 

HOPKINTON. 

1.  Nothing  for  the  promotion  of  the  public  health  has  been  done  during 
the  year. 

2.  This  town  has  no  public  water  service.  • 

3.  This  town  has  no  sewage  system. 

4.  There  have  been  no  new  sanitary  ordinances  adopted  during  tiie 
year.    (Contagious  disease  ordinances,  see  report  of  1894,  p.  59.) 

5.  This  town  has  no  legal  board  of  health  other  than  the  town  council. 
G.    George  X.  Langworthy,  health  officer. 

7.  Gratuitous  vaccination  has  not  been  provided  in  this  town  during 
the  year. 

8.  Undertakers  make  prompt  returns  of  deaths. 

9.  Clergymen  make  returns  of  marriages  promptly. 

Edwin  K.  Allkx,  Toirn  Clerk. 

NARRAGANSETT. 

3.  Tliis  district  lias  about  20,000  feet  of  pulilic  and  about  :).000  feet  of 
l>rivate  sewers,  besides  house  connections.  About  25  per  cent,  of  the 
winter  resident  population,  and  about  00  per  cent,  of  the  summer  popu- 
lation, have  sewer  connections. 

6.  Daniel  A.  Caswell,  health  officer. 

7 


50  STATE    BOARD    OF    HEALTH.  [1899. 

T.     Gratuitous  vaccination  lias  not  been  provided  in  tliis  district  during 
the  year. 

8.  Undertakers  are  not  prompt  in  making  returns  of  deaths. 

9.  Clergymen  make  returns  of  marriages  promptly. 

W.  Herbert  Caswell,  District  Clerk. 

KOETH  KINGSTOWN. 

1.  ISTothing  for  the  promotion  of  the  public  health  has  been  done  during 
the  year. 

2.  This  town  has  no  public  water  service. 

3.  This  town  has  no  sewage  system. 

4.  (Nuisance  and  contagious  disease  ordinances,  see  report  of  1896,  p.  60.) 

5.  This  town  has  no  legal  board  of  health  other  than  the  town  council. 

6.  Harold  Metcalf,  M.  D.,  health  officer. 

8.  Undertakers  make  prompt  returns  of  deaths. 

9.  Clergymen  make  returns  of  marriages  promptly. 

,  Thomas  J.  Peirce,  Toivn  Clerk. 

RICHMOND. 

1.  Nothing  for  the  promotion  of  the  public  health  has  been  done  during 
the  year. 

2.  This  town  has  no  public  water  service. 

3.  This  town  has  no  sewage  system. 

4.  There  have  been  no  new  sanitary  ordinances  adopted  during  the  year. 
(Contagious  disease  and  nuisance  ordinances,  see  report  of  1894,  p.  61.) 

6.     Charles  A.  "Fuller,  health  officer. 

8.  Undertakers  make  prompt  returns  of  deaths. 

9.  Clergymen  make  returns  of  marriages  promptly. 

Halsey  p.  Clarke,  Town  Clerk. 

SOUTH  KINGSTOWN. 

No  reply  from  the  town  clerk. 

4.    (Contagious  disease  ordinances,  see  report  of  1896,  p.  64.) 


1899.]  secretary's  hi: pout.  61 

WESTERLY. 

Tlie  followiiif''  extracts  arc  taken  from  tlic  report  oi"  tlie  Ixtard  of  water 
commissioners  : 

The  board,  deeming?  it  advisal)le  to  have  analyses  made  each  year  of  tlie 
watt'r  supply  from  the  wells,  suljuiittcd,  in  Ai)ril,  isno,  a  sample  of  the 
water  supply  to  I'rof.  Charles  F.  Chandler,  of  Columbia  I"'niversity,  X.  Y., 
for  analysis.  The  report  on  the  quality  of  the  water,  with  the  analysis 
submitted  to  us  by  Professor  Chandler,  also  the  opinion  of  Mv.  C.  E.  ilob- 
erts,  manager  of  the  New  England  department  of  the  Hartford  Steam 
IJoilcr  Insurance  and  Inspection  Company,  in  regard  to  the  ([uality  of  the 
water  lor  steam  boiler  use,  are  particularly  gratifying. 

SUMMARY   OF   STATISTICS. 

Beport  of  1S98-9. 

In  accordance  with  suggestions  adopted  by  the  Xew  England  Water 
Works  Association  : 

By  whom  owned Town  of  Westerly. 

Works  built  by  company  in 1886-87. 

Purchased  by  town  of  Westerly  in 1898. 

Source  of  supply Driven  w'ells. 

Mode  of  supply Pump  to  tank. 

1.  Builder  of  pumping  machinery,  Henry  R.  Worthington. 

2.  Description  of  coal  used,  George's  Creek,  Cumberland. 

3.  Coal  consumed  for  the  year,  808,800  pounds. 

4.  Total  pumpage  for  the  year,  in  gallons,  176,508,800. 
').     Average  static  head  against  which  pumps  work,  ll).5. 

(>.     Average  dynamic  head  against  which  pumps  work,  200. 
7.    Xumber  of  gallons  pumped  per  pound  of  coal,  211). 

^     i)nfv    (■'fl^fo"*  pumped  (7)  .v  SSU  x  100  x  dynamic  head  (S)    „  ,   .^.^  ^.^^ 
^'  Total  j'utl  (S)  7to  altoivance.  '        ' 

9.    Pounds  of  coal  per  million  gallons  pumped,  4,.560. 

Cost  of  pumping,  ligured  on  pumping  station  expenses.  $3,479  SO 

10.  Per  million  gallons  raised  against  (dynamic)  head  into 

tank 19.71 

11.  Per  million  gallons,  raised  one  foot  high  (dynamic) 0.098 

12.  Cost  of  pumping,  ligured  on  total  maintenance 16,882 

13.  Per  million  gallons  raised  against  (dynamic)  head  into 

tank 9o.64 

14.  Per  million  gallons  raised  one  foot  high  (dynamic) 0.47S 


52                                           STATE  BOARD   OF  HEALTH.  [1899. 

Consumptio7i. 

1.    Estimated  total  population,  Westerly 8,000 

"          Pawcatuck 3,000 


11,000 

2.  Estimated  population  on  lines  of  pipe 8,000 

3.  Estimated  population  supplied  to  date 7,000 

4.  Total  gallons  consumed  for  the  year 176,508,800 

5.  Average  daily  consumption  in  gallons 486,160 

6.  Gallons  per  day  to  each  inhabitant  (2) 60 

7.  Gallons  per  day  to  each  consumer  (3) 69 

8.  Gallons  per  day  to  each  tap  (services  4) 523 

Distribution. 

1.  Kind  of  pipe Cast  iron. 

2.  Size  of  pipe 4  to  12  inches. 

3.  Extended = 196  feet. 

4.  Lowered 620  feet. 

5.  Changed  to  larger  size None. 

6.  Discontinued Kone.' 

7.  Total  now  in  use.  Westerly  and  Pawcatuck 20f  f f ^  miles. 

8.  IS'umber  of  leaks  per  mile .93 

9.  Hydrants  added 1 

10.  Total  now  in  use.  Westerly 22 

"          "           "    Pawcatuck 18 

"         "           "    private 31 

11.  Total  connected  with  works 71 

12.  Stop  gates  added •.  None. 

13.  Total  now  in  use 122 

14.  Number  of  blow-off  gates  added None. 

15.  Total  now  in  use 4 

16.  Kange  of  pressure  on  mains,  centre  of  town,  82  to  92  pounds. 

Services. 

1.  Kind  of  pipe Lead  and  iron. 

2.  Size  of  pipe i  to  4  inches. 

3.  Services  discontinued 8 

4.  Total  now  in  use 930 

5.  Service  taps  added 47 

6.  Average  cost  of  service  per  foot $0.29 


1899]                            secretary's  report.  63 

7.  Average  cost  per  service s7.82 

8.  Meters  added 4(i 

i).     Total  now  in   use 676 

10.  I  )onH'stic 641 

1 1 .  ManufactunMs 35 

12.  Elevators  and  motors  addi'd 1 

I'J.     Total  now  in  use 10 

FINANCIAL. 

MAINTENANCE. 

From  ('on!<umers. 

A    Water  rates,  fixed 82,490  OS 

B    Water  rates,  metered,  and  miscellaneous i;],!.")";  ta 

C     Hydrant  rentals 708  60 

D    Xet  revenue  for  water  from  consumers 16,45;',  00 

E     Miscellaneous,  services,  etc 074  10 

F     Total 17,427  25 

From  Public  Funds. 

( ;     Hydrants— a  Pawcatuck  Fire  District $680  00 

b  Westerly  Fire  District 822  57 

II  ^Fountains,  (4)  not  metered 120  00 

I    *8treet  watering,  and  highways 50  00 

J    *Public  buildings 10  00 

K     Gross  revenue 10,109  82 

ExpouJitures. 

AA    Alanagement  and  repairs $7,104  80 

151  >     Interest  on  net  cost 9,687  50 

CC     Addition  to  sinking  fund 2,:554  oo 

DD    Total  maintenance  for  the  year 19,2o()  :]o 

Construction. 

A    From  sale  of  pipe,  asbestos,  etc *70  40 

P.     From  maintenance  account 388  19 

C     From  water  receipts 4:17  ('4 

D    Total  receipts 905  2;; 

*  No  cash  inconie  (iciivcil,  Init  luiiouiits  cliar?,'!-!!  iiiul  creditt'd  in  luiimul  report. 


54  STATE   BOARD  OP  HEALTH.  "  [1899. 

Ex2oenditures. 

E     Pumping  station,  construction $2,855  07 

F     Pipe  lines,  services,  etc 3,464  36 

G    Preparing  and  issuing  bonds,  etc 730  90 

H    Total  expenditures 7,050  33 

I     ISTet  expenditures 6,145  10 

Total  cost  of  works,  May  1,  1898 $268,920  85 

Total  net  cost  of  works,  May  1,  1899 275,065  95 

Value  of  sinking  fund 29,117  95 

I  wish  to  call  your  attention  to  the  filters  at  the  old  pumping  station. 
I  have  kept  water  running  through  and  around  these  filters-  during  the 
year,  as  much  as  possible,  but  nothing  short  of  constant  washing,  or  daily 
use,  will  prevent  their  rapid  deterioration.  I  therefore  recommend  that 
they  be  taken  down  and  disposed  of,  if  possible,  for,  should  occasion  ever 
require  their  use,  the  expense  of  maintaining  them  in  proper  condition 
would  probably  be  greater  than  that  required  to  replace. 

Thomas  McKenzie,  Superintendent. 

APPENDIX  A. 
[copy.] 

Boston,  April  17th,  1899. 
T.  McKenzie,  Esq.,  Westerly  Water  Works,  Westerly,  K.  I. 

Dear  Sir  : — Your  favor  of  the  14th  inst.,  in  reference  to  the  quality  of 
water  which  you  are  using  in  your  boilers,  is  at  hand. 

In  reply  would  say  that  this  compares  very  favorably  with  our  &e.s? 
New  England  waters,  as  it  forms  practically  no  scale  and  does  not  seem 
to  have  any  injurious  effects. 

Yours  respectfully, 

C.  E.  Roberts, 
Manager  Hartford  Steam  Boiler  Inspection 
and  Insurance  Go. 

[copy.] 
COLUMBIA    UNIVERSITY. 

DEPARTMENT  OF  CHEMISTRY,  HAVEMEYER  HALL, 

116th  Stkeet  and  Amsterdam  Avenue. 

PROF.    C.    F.    CHANDLER, 
Telephone :   289  Hablem. 

ISTew  York,  April  18th,  1899. 
Thomas  McKenzie,  Esq.,  Westerly,  E.  I. 

My  Dear  Sir  :— Enclosed  please  find  my  report  of  analysis  of  the 
sample  of  water  received  from  you.    You  will  see  on  examiniug  it  that 


1899.] 


SKCRKTAKY  S    KKI'OUT. 


65 


tlu'  wator  is  extreuichj  pure,  about  as  piiic  as  a  city  water  supply  can  be. 
There  is  no  evidence  whatever  of  any  kind  of  contamination,  either 
from  a  sanitary  point  of  view  or  from  a  manufacturing  jioint  of  view. 

\'ery  sincerely  yours, 

C.  F.  ('iiANi)ij;i:. 

No.  3491. 
CKHTIFICATK    OK    AX.\  LYSIS. 

Xkw  Yohk,  April  18th,  1899. 
Water  Commissioneks,  Westerly,  K.  I. 

Gentlemen  :  — The  sample  of  Water  from  T.  McKenzie,  marked 
Westerly,  R.  I.,  submitted  to  us  for  examination,  gives  on  analysis  the 
following  results  : 

Appearance Clear. 

Color None. 

Odor  (heated  to  luo"  Fahr.).  .None. 
Taste None. 


Sanitary  Analysis. 

Results  Expressed 

in  Grains  per 

U.  S.  Gallon  of 

231  Cubic  Inches. 

Chlorine  in  Chlorides 0.. 530.5 

Equivalent  to  Sodium  Cloride 0.8742 

Phosphates  (as  P,  O,,) None 

Nitrogen  in  Nitrites None 

Nitrogen  in  Nitrates 0 .0720 

Free  Ammonia 0 .0000 

Albuminoid  Ammonia 0.0015 

Total  Nitrogen 0.07.54 

Hardness  equiv.  to  {  before  boiling 0.0000 

Carb.  Lime,        <  after  boiling 0.6090 

Organic  and  Volatile  (loss  on  ignition) —  0.3498 
Mineral  Matter  (non-volatile),  COj  restored 

with  Ammonium  Carbonate 3.0809 

Total    Solids    (by    evaporation),    dried    at 

110°  C 3.4397 


Results  Expressed 

in  Parts  by 

Weight  in  One 

Hundred  Thousand. 

0.9100 
1.4995 

None 

None 
0.1251 
0.0010 
0.0020 
0.1294 
1 . 2000 
1.2000 
O.GOOO 

5.3000 

5.9000 


Analysis  for  ^[((nvf<(cluri)i(i  Purposes. 
Remarks  :  Residue  on  Evaporation  Pure  White. 

Sodium  Chloride 0.8473 

Potassium  Chloride 0.0349 

Calcium  Sulpliate 0.2000 


1.4.534 
0.0.590 
0.3442 


56  STATE    BOARD    OF   HEALTH.  [1899. 

Calcium  Carbonate 0.6189  1 .0615 

Magnesium  Carbonate 0 .  2244  0 .  3849 

Oxide  of  Iron  and  Alumina 0.0384  0.0660 

Silica 0.7870  1.3500 

Kespectfully, 

Your  obedient  servant, 

C.  F.  Chandler,  Ph.  D. 

For  earlier  report  upon  the  character  of  the  water  tests  made,  see 
report  of  1898,  p.  43. 


REPORTS   OF 


llExVLTll   OmCEHS. 


1899. 


CIRCULAR  TO  HEALTH  OFFICERS. 


CIRCULAK  No.  131. 

Office  of  tiik  Skcretaky  of  tiik  State  Board  of  Health, 

Providence,  January  l,  ISOI). 
To  the  Health  Officer  : 

Dear  Sir  :— An  important  feature  of  the  annual  reports  of  the  Rhode 
Ishviul  State  Board  of  Health  is  that  of  giving  a  connected  history  of  the 
occurrence  of  contagious  and  epidemic  diseases  from  year  to  year,  as  they 
may  iiave  prevailed  in  the  different  towns,  whether  epidemically  or  in  a 
less  degree,  together  witli  the  location  in  the  town  (village  or  otherwise) 
and  season  of  the  year. 

If  the  proportion  of  the  fatal  cases  to  the  whole  number  of  cases  of  the 
same  disease  could  be  given,  the  value  of  such  reports  would  be  very  much 
enhanced.  Such  proportion  can  be  ascertained  only  in  such  towns  as  hij 
toivn  ordinance  require  physicians  to  report  all  cases  of  such  diseases  as 
come  witliin  their  charge. 

An  approximate  proportion  can,  however,  be  given,  after  the  subsidence 
of  the  disease,  by  inquiry  of  persons  living  in  the  immediate  neighborhood 
of  tlie  prevalence  of  such  disease,  as  to  tlie  number  of  the  sick,  or  by  house' 
to  house  visitation  wliere  the  sickness  occurred,  with  the  same  inquiry, 
and  by  the  comparison  of  the  deaths  with  recoveries  as  so  ascertained. 

It  is  for  the  purpose  of  obtaining  such  information,  in  full  or  approxi- 
mate, and  also  what  may  have  been  done  to  prevent  and  restrict  diseases, 
that  tlie  questions  in  the  inclosed  circular  are  sent  to  the  various  health 
otlicers  of  tlie  State. 

To  Health  Officers  who  are  not  physicians,  it  may  be  said  tiiat  the  term 
epidemic,  within  the  meaning  of  the  questions  proposed,  is  the  prevalence 
of  some  disease  to  the  extent  of  one  or  more  persons  aftected  with  the  dis- 
ease to  every  five  or  six  persons  living  in  adjacent  tenements  or  in  the  near 
neighborhood,  or  a  smaiU-r  proportion,  not  less  than  one  case  of  the  disease 


60 


STATE   BOARD   OF   HEALTH. 


[1899. 


in  every  ten  or  twelve  of  the  population,  extending  over  a  large  area  of 
territory.  One  sick  in  every  twelve  to  sixteen  persons  might  be  called  a 
large  prevalence,  and  one  sick  in  every  twenty  to  twenty-five,  a  moderate 
prevalence.  The  number  of  cases  of  any  one  disease  may  have  to  be 
estimated,  but  make  them  as  nearly  correct  as  possible. 

If,  therefore,  you  will  have  the  kindness  to  reply  to  the  questions  in  the 
said  circular,  according  to  the  best  knowledge  you  have  been  able  to  obtain, 
and  forward  in  the  inclosed  stamped  envelope,  you  will  favor  one  of  the 
most  important  interests  in  the  State,  and  greatly  oblige, 

Yours  truly, 

GARDNER  T.  S  WARTS, 


Secretary  State  Board  of  Health. 


CmCULAE  No.  132. 

Dear  Sir:  —  Replies  to  the  following  questions,  as  suggested  in  the 
accompanying  circular  (No.  131),  are  respectfully  solicited  ;  said  replies  to 
be  made  on  this  circular,  following  each  question  : 

1.  Name  of  town. 

2.  Name  of  health  officer. 

3.  Have  there  been,  within  your  knowledge,  any  epidemics,  or  any  large 
prevalence  of  contagious  or  infectious  diseases  in  your  town  during  the 
past  year  ?  If  so,  of  what  disease  or  diseases  ?  in  what  locality  or  local- 
ities ?  how  many  of  each  disease  ?*  number  of  deaths  ?  and  in  what  months 
of  the  year  ? 


Diseases.      Locality. 


No.  of  cases. 


No.  of  deaths. 


Months  in  which  they  occurred. 


4.  Was  isolation  maintained  or  attempted  ?* 

5.  What  proportion  of  the  sick,  if  any,  were  isolated  ? 


*According  to  the  best  knowledge  obtainable. 


1890. 1  rkcretary's  kki'Oki-.  Gl 

(i.  AVas  any  inspection  of  premises  made,  where  sickness  prevailed,  as 
to  tlie  sanitary  condition  of  the  cellars,  pantries,  sinks,  sink-drains,  water- 
closets,  if  any,  cess-pools,  out-hduse  privies,  distance  of  wells  from  accu- 
mulations of  filth,  etc.,  etc.?  If  so,  please  give  a  general  statement  as  to 
w  iiether  they  were  sanitarily  in  conditions  good  or  bad,  or,  if  any  thing  or 
l)hu'f  was  unusually  unsanitary,  give  a  full  description.  Or,  if  the  cause 
of  any  (luthivak  of  disease  was  found,  please  state  what, 

7.  Did  you  make  any  sanitary  inspections  during  the  past  year,  by 
order  of  tlie  town  council  or  from  your  own  option?  If  so,  what  were  tliey 
antl  how  made? 

8.  Do  you  know  of  any  location  in  your  town  that  seems  to  be  particu 
larly  unhealthy  to  any  considerable  number  of  persons?  If  so,  and  the 
cause  is  suspected,  can  such  cause  be  removed  at  any  reasonable  expense  ? 

9.  Do  yon  report  to  your  town  council  nuisances  dangerous  to  the  public 
health,  or  unsanitary  premises  within  your  knowledge  ;  or  of  buildhigs 
unsafe  for  occupants  in  case  of  fire?  (See  Chapter 49.5,  Section  (J,  Public 
Laws.) 

10.  Has  tliere,  to  your  knowledge,  been  any  contamination  of  any  of 
the  water,  milk,  or  ice  supplies  hi  your  town? 

11.  I'lease  give  names  and  addresses  of  dealers  in  ice  in  your  town. 


REPORTS  OF  HEALTH  OFFICERS. 


BEISTOL   COUNTY. 

1.  Barrington. 

2.  Charles  H.  Bowden,  health  officer. 

3.  The  contagious  diseases  reported  during  the  year  were  five  cases  of 
scarlet  fever,  during  February  and  March.    ISfone  of  these  were  fatal. 

4.  Isolation  was  maintained. 

5.  All  of  the  sick  were  isolated. 

6.  Inspection  of  premises  where  sickness  prevailed  was  made,  and 
found  to  be  in  good  saidtary  condition.  It  is  thought  that  the  disease  was 
brought  from  out  of  town. 

7.  ISTo  sanitary  inspections  were  made  during  the  year. 

8.  ]^o  unhealthy  localities  in  this  town  are  known. 

9.  All  public  nuisances  and  unsanitary  premises  are  reported  to  the 
town  council,  but  not  buildings  unsafe  in  case  of  fire. 

10.  There  has  been,  to  my  knowledge,  no  contamination  of  the  water, 
milk,  or  ice  supplies  of  this  town. 

11.  E.  Tiffany,  of  Barrington  Centre,  and  William  A.  Leonard,  of 
Drownville,  are  the  ice  dealers  of  this  town. 

1 .  Bristol. 

2.  George  H.  Peck,  health  officer. 

3.  Typhoid  fever  was  quite  prevalent  during  the  summer  months,  there 
being  forty  cases  of  this  disease.  The  other  contagious  diseases  reported 
were  as  follows:  chicken-pox,  twelve  ;  scarlet  fever,  nine  ;  measles,  two  ; 
and  diphtheria,  one.    None  of  these  cases  were  fatal. 

4.  Isolation  was  maintained. 

5.  All  the  scarlet  fever  and  diphtheria  cases  were  isolated. 


1899.]  secretary's  report.  63 

6.  Inspection  of  premises  where  sickness  prevailed  was  made  in  each 
case,  but  sanitary  conditions  were  fovuul  to  be  good,  and  no  cause  for  the 
disease  could  be  found. 

7.  On  complaint,  several  cess-pools  and  water-closets  were  inspected. 

8.  No  unliealthy  localities  in  this  town  are  known. 

0.  All  public  nuisances,  unsanitary  premises,  etc.,  are  reported  to  the 

town  council. 

10.  There  has  been,  to  my  knowledge,  no  contamination  of  the  water, 
milk,  or  ice  supplies  of  this  town. 

11.  John  P.  Reynolds  and  Terence  P.  Morris  are  the  ice  dealers  of  this 
town. 

1.  Wakrkx. 

2.  Abraham  Bowen,  liealth  otiicer. 

3.  Scarlet  fever  was  prevalent  during  the  months  of  September  and 
October,  there  being  sixteen  cases  of  this  disease.  There  were  also  a 
number  of  cases  of  mumps,  the  exact  number  of  cases  not  being  known, 
during  the  mouths  of  November  and  December.  No  deaths  occurred  from 
either  disease. 

4.  In  the  scarlet  fever  cases,  isolation  was  maintained. 

5.  All  of  the  sick  were  isolated. 

a.  Inspections  of  premises  where  sickness  prevailed  were  made,  but  no 
unusual  unsanitary  conditions  could  be  found  that  would  account  for  the 
presence  of  the  disease. 

9.  All  public  nuisances,  unsanitary  premises,  etc.,  are  reported  to  tiie 
town  council. 

10.  There  has  been,  to  my  knowledge,  no  contamination  of  the  water, 
milk,  or  ice  supplies  of  this  town. 

KENT  COUNTY. 

1.  Coventry. 

2.  John  Winsor,  M.  D.,  health  oMicer. 

3.  There  were  no  epidemics  in  this  town  during  tiie  year. 

4.  Isolation  was  maintained. 

o.     All  of  the  sick  wore  isolated. 


64:  STATE    BOARD    OF    HEALTH.  [1899. 

6.  Inspections  of  premises  where  sickness  prevailed  were  made,  and 
were  usually  found  in  good  condition. 

7.  Sanitary  inspections  were  made  when  cases  were  reported. 

8.  ]Sro  unhealthy  localities  in  this  town  are  known. 

9.  All  public  nuisances,  unsanitary  premises,  etc.,  are  reported  to  the 
town  council. 

10.  There  has  been,  to  my  knowledge,  no  contamination  of  the  water, 
milk,  or  ice  supplies  of  this  town. 

11.  Manchester  Bros.,  of  Anthony,  are  the  ice  dealers  of  this  town. 

1.    East  Greenwich.— InTo  report  from  the  health  officer. 

West  Greenavich  has  no  health  officer. 

1.    Warwick. — No  report  from  the  health  officer. 

NEWPOET  COUNTY. 

1.    Jamestown.— IsTo  report  from  the  health  officer. 

1.  Little  Compton. 

2.  Adam  S.  MacKnight,  health  officer. 

3.  The  contagious  diseases  reported  were  as  follows :  measles,  one  case 
in  May ;  and  scarlet  fever,  live  cases,  four  of  which  were  in  IsTovember 
and  one  in  February.    None  of  these  cases  were  fatal. 

4.  Isolation  was  maintained. 

5. ,  All  of  the  sick  were  isolated. 

6.  Inspection  of  premises  where  sickness  prevailed  was  made  in  every 
case,  and  sanitary  conditions  found  to  be  good.  The  cases  were  all  im- 
ported from  neighboring  towns. 

7.  One  sanitary  inspection  was  made  at  my  own  option.  This  was  a 
case  of  an  unburied,  decomposing  horse.  I  reported  the  same  to  the  town 
council,  who  ordered  it  buried. 

8.  No  unhealthy  localities  in  this  town  are  known. 

9.  All  public  nuisances,  unsanitary  premises,  etc.,  whenever  any  such 
are  brought  to  my  notice,  are  reported  to  thp  town  council. 


18'.)!). I  sk(Ji:i:taky',s  i;i:i'()i;t.  65 

1(1.  'I'licii'  has  hi'iMi,  to  my  knowledge,  no  coiitaiiiiiialion  ol'  tlic  water, 
milk,  or  ice  supplies  of  this  town. 

11.  .lami's  ]j.  (iray  and  A.  I'cckliani  »fc  Sons  art'  tlic  ice  dealers  of  tiiis 
town. 

1.  MiDDLKTOWN. 

2.  (Jeorge  E.  Ward,  health  oflicer. 

8.    There  w'ere  no  epidemics  in  this  town  during  the  year. 

6.  There  were  no  inspections  of  premises  made. 

7.  All  public  nuisances,  unsanitary  premises,  etc.,  when  any  .siu  h  are 
brought  to  my  notice,  are  reported  to  the  town  council. 

8.  No  unhealthy  localities  in  this  town  are  known. 

10.  There  has  been,  to  my  knowledge,  no  contamination  of  the  water, 
milk,  or  ice  supplies  of  this  town. 

11.  The  Ne\vport  Ice  Company  is  the  ice  dealer  of  this  town. 

1.  Xkwi'okt. 

2.  George  C.  Shaw,  executive  officer,  board  of  health. 

.3.  The  contagious  diseases  reported  during  the  year  were  as  follows : 
typhoid  fever,  thirty-nine,  with  four  deaths ;  scarlet  fever,  twenty-one, 
with  no  deatlis  ;  and  diplitlieria,  nine,  with  one  deatli. 

4.     Isolation  was  maintained. 

0.    All  of  the  sick  were  isolated. 

G.  Sanitary  inspections  of  premises  were  made  in  all  cases,  but  no 
cause  for  the  disease  could  be  found. 

7.  Sanitary  inspections  of  all  privy  vaults  in  the  city  were  made,  and 
tliose  found  to  be  two-thirds  or  more  full  were  ordered  cleaned. 

8.  No  unhealthy  localities  in  this  city  are  known. 

0.  All  i)ul)lic  nuisances,  unsanitary  premises,  etc.,  are  reported  to  the 
city  council. 

10.  There  has  been,  to  my  knowledge,  no  contamination  of  the  water, 
milk,  or  ice  supplies  of  this  city. 

11.  The  Arctic,  Citizens,  and  Newport  Hygienic  Ice  and  Water  Com- 
Companies  are  the  ice  dealers  of  this  city. 

1.  New  Siiorkham. 

2.  Hamilton  A.  Mott,  health  ullicer. 


66  STATE    BOARD    OF    HEALTH.  [1899. 

3.    There  were  no  epidemics  in  this  town  dnring  the  year. 

7.  Sanitary  inspections  were  made  dviring  the  year. 

8.  N'o  unliealthy  localities  in  this  town  are  known. 

9.  All  public  nuisances,  unsanitary  premises,  etc.,  are  reported  to  the 
town  council. 

10.  There  has  been,  to  my  knowledge,  no  contamination  of  the  water, 
milk,  or  ice  supplies  of  this  town. 

11.  C.  A.  &  M.  L.  IS"egus  and  H.  S.  Millikin  are  the  ice  dealers  of  this 
town. 

1.  Portsmouth. 

2.  Minot  A.  Steele,  M.  D.,  health  officer. 

3.  There  were  no  epidemics  in  this  town  during  the  year. 

6.    Several  inspections  of  premises  were  made,  upon  complaint. 

I.  No  sanitary  inspections  were  made  during  the  year. 

8.  N^o  unhealthy  localities  in  this  town  are  known. 

9.  All   public  nuisances,   unsanitary  premises,   etc.,    when  any  such 
occur,  are  reported  to  the  town  council. 

10.  There  has  been,  to  my  knowledge,  no  contamination  of  the  water, 
milk,  or  ice  supplies  of  this  town. 

II.  William  H.  Tallman  is  the  ice  dealer  of  this  town. 

1.  Tiverton. 

2.  Edward  P.  Stimson,  M.  D.,  health  officer. 

3.  There  were  seventeen  cases  of  scarlet  fever  reported  to  me  during 
the  year.    None  of  them,  however,  were  fatal. 

4.  Isolation  was  maintained. 

5.  All  of  the  cases  were  quarantined. 

6.  Inspections  of  premises  where  sickness  prevailed  were  made,  and 
sanitary  conditions  generally  found  good. 

7.  No  sanitary  inspections  were  made  by  order  of  the  town  council. 

8.  No  unhealthy  localities  in  this  town  are  known. 

9.  All  public  nuisances,  unsanitary  premises,  etc.,  are  reported  to  the 
town  council. 


1890  )  secretary's  report.  67 

10.  Tliere  has  been,  to  my  kTiowledpe,  no  contamination  of  the  water, 
milk,  or  ice  supplies,  of  this  town. 

11.  Hnnvncll,  of  Tiverton,  and  r(;ckiiani,  of 'fivciton  Four  Corners,  aer 
the  ice  dealers  of  this  town. 


PROVIDENCE  COUNTY. 

1.  BURHILLVILLK. 

2.  ,Iohn  Clavin,  healtli  otlicer. 

3.  There  have  been  no  epidemics  or  prevalence  of  disease  in  this  town 
during  the  year. 

4.  There  were  no  cases  were  isolation  was  necessary. 

(5.  Xo  inspections  of  premises  where  sickness  prevailed  were  made,  as 
there  seemed  to  be  no  necessity  for  same. 

7.  I  have  caused  to  be  abated  a  number  of  ordinary  sink-drains,  cess- 
pools, and  othernuisances  during  the  year. 

8.  Xo  unliealthy  localities  in  this  town  are  known. 

0.  All  public  nuisances,  unsanitary  premises,  etc.,  when  any  such  come 
to  my  knowledge,  are  reported  to  the  town  council. 

10.  There  has  been,  to  my  knowledge,  no  contamination  of  the  water, 
milk,  or  ice  supplies  of  this  town. 

11.  The  Pascoag  Ice  Co.,  and  ,J.  Ross,  of  Pascoag,  Wood  Bros.,  of  Har- 
risville,  and  John  Fields,  of  Nasonville,  are  the  ice  dealers  of  this  town. 

1.  Central  Falls. 

2.  Charles  F.  Sweet,  M.  D.,  health  otlicer. 

.3.  There  were  no  epidemics  in  this  city  during  the  year.  Whooping- 
cough  was  quite  common. 

4.  Isolation  was  maintained  in  all  cases  of  scarlet  fever  and  diphtheria. 
In  cases  of  whooping-cough,  chicken-pox,  and  mumps,  the  children  were 
kept  from  school. 

0.  Inspections  of  premises  where  sickness  prevailed  were  made,  and 
sanitary  conditions  found  to  be  generally  good. 

7.  Sanitary  inspections  are  made  upon  notilication  by  anyone,  in  all 
cases  of  nuisance  or  unhcaltliy  locality  or  thing. 

8.  X()  unhealthy  localitirs  in  (iiis  I'itv  arc  known. 


68  STATE   BOARD   OF   HEALTH.  [1899. 

9.  All  nuisances  not  abated  are  reported  to  the  board  of  aldermen.  The 
building  inspector  attends  to  buildings  unsafe  in  case  of  fire. 

10.  There  has  been,  to  my  knowledge,  no  contamination  of  the  water, 
milk,  or  ice  supplies  of  this  town. 

11.  The  Central  Falls,  Pawtucket,  East  Providence,  Seekonk,  Moshas- 
suck.  South  Attleboro,  Crystal,  and  Union  Ice  Companies  are  the  ice 
dealers  of  this  city. 

1.  Craistston. 

2.  Daniel  S.  Latham,  M.  D.,  health  officer. 

3.  There  were  no  epidemics  in  this  town  during  the  year. 

4.  Isolation  was  always  attempted,  and,  in  most  cases,  maintained. 

5.  Seventy-five  per  cent,  of  the  sick  were  isolated. 

6.  Inspections  of  premises  were  made  only  in  suspicious  cases.  The 
sanitary  conditions  in  most  cases  were  good. 

I.  No  sanitary  inspections  were  made  during  the  year. 

8.  Malaria  seems  to  have  been  quite  prevalent  in  the  vicinity  of  stag- 
nant water  at  the  corner  of  Park  avenue  and  Wellington  street.  Auburn. 
The  cause  can  be  removed  only  at  expense  of  filling  hole. 

9.  All  public  nuisances,  unsanitary  premises,  etc.,  are  reported  to  the 
town  council  in  cases  where  measures  were  not  taken  by  owners  to  abate 
same  after  due  notice. 

10.  There  is  a  contamination  of  the  ice  supply  of  Dyer's  pond  and  Po- 
casset  river  by  pollution  from  mills  at  Thornton. 

II.  The  Crystal  Ice  Company  is  the  ice  dealer  of  this  town. 

1.  Cumberland. 

2.  William  J.  McGunagle,  health  officer. 

3.  There  were  no  epidemics  in  this  town  during  the  year. 

4.  Isolation  was  not  mamtained. 

6.  jSTo  inspections  of  premises  were  made. 

7.  A  number  of  -unsanitary  sink-drains,  cess-pools,  etc.,  were  abated 
during  the  year. 

8.  jSTo  unhealthy  localities  in  this  town  are  known. 

9.  All  public  nuisances,  unsanitary  premises,  etc.,  are  reported  to  the 
town  council. 


1899.]  SECKKTAIiY'S    IU:i'<»I{T.  fiO 

10.  There  has  been,  to  my  knowledge,  no  conttimination  of  the  water, 
milk,  or  ice  supplies  of  this  town. 

11.  The  Pawtucket  Ice  Company  and  I5eath  &  Co.  are  the  ice  dealers  of 
this  town. 

1.    East  Providkxck.    Xo  report  from  the  health  ortlcer. 

1.     Foster.    Xo  report  from  the  health  officer. 

1.  Glocester. 

2.  George  A.  Harris,  M.  T).,  health  officer. 

•S.    Pertussis  was  quite  prevalent  during  the  latter  part  of  the  year, 
there  being  about  thirty  cases,  none  of  which,  however,  were  fatal. 
4,    Isolation  was  not  maintained. 
G.    Xo  inspections  of  premises  were  made. 

7.  Xo  sanitary  inspections  were  made  during  the  year. 

8.  Xo  unhealthy  localities  in  this  town  are  known. 

9.  I  have  had  no  occasion  during  the  year  to  report  to  the  towni  council 
any  nuisances,  etc. 

11.  Leward  Hopkins  and  Fred  Wilson,  of  Chepachet,  are  the  ice  dealers 
of  this  town. 

1.  Joiixstox. 

2.  Ralph  H.  R.  Shaw,  M.  D.,  health  officer. 

3.  There  were  no  epidemics  in  this  town  during  the  year.  Only  a  few 
scattering  cases  in  separated  localities. 

4.  Isolation  was  maintained. 

5.  All  cases  were  isolated. 

6.  In  all  cases  of  sickness  sanitary  inspections  were  made,  and  condi- 
tions found  to  be  fairly  good. 

7.  Sanitary  inspections  were  frequently  made  upon  complaint. 

8.  The  stream  leading  through  Thoniton  village  to  Cranston  Print 
Works  is  in  a  most  filthy  condition,  owing  to  wool  washings  and  dye  stuff 
from  mills.  The  new  filtering  plant  will  prevent  such  contamination  in 
the  future,  and  stream  can  be  cleaned  out  at  small  cost. 

0.  All  public  nuisances,  unsanitary  premises,  etc.,  are  reported  to  the 
town  council. 


10  STATE   BOARD    OF   HEALTH.  [1899. 

10.  There  has  been,  to  my  knowledge,  no  contamination  of  the  water, 
milk,  or  ice  supplies  of  this  town. 

11.  Merritt  &  Sons  and  the  Hughesdale  Ice  Company  are  the  ice  dealers 
of  this  town. 

1.  Lincoln. 

2.  James  W.  Walker,  M.  D.,  health  officer. 

.3.    There  were  no  epidemics  in  this  town  during  the  year. 

4.  Isolation  was  maintained. 

5.  All  of  the  sick  were  isolated. 

6.  All  premises  are  inspected  when  a  case  of  contagious  or  infectious 
disease  exists;  also  when  a  nuisance  is  reported;  and  am  proud  to  say  that 
little  if  any  changes  could  be  made  owing  to  the  public  having  taken  such 
an  interest  in  the  matter. 

7.  I  have  personally  made  inspections  of  all  sanitary  conditions  where 
there  is  doubt  of  its  being  poor ;  and  if  found  to  be  such,  it  is  at  once 
abated. 

8.  No  unhealthy  localities  in  this  town  are  known, 

9.  All  public  nuisances,  unsanitary  premises,  etc.,  are  reported  to  the 
town  council. 

10.  There  has  been,  to  my  knowledge,  no  contamination  of  the  water, 
milk,  or, ice  supplies  of  this  town. 

11.  The  Manville,  Spauldings's,  Lonsdale,  Moshassuck,  and  Saylesville 
Ice  Companies  are  the  ice  dealers  of  this  town. 

1.  ISToRTH  Providence. 

2.  Sanford  E.  Kinnecom,  health  officer. 

9.  All  public  nuisances,  unsanitary  premises,  etc.,  are  reported  to  the 
town  council. 

11.  W.  A.  Sweet  and  John  Leuthes,  of  Centredale,  and  Charles  O.  An- 
gell,  Harris  Glicksman,  and  Herman  Rasner,  of  Geneva,  are  the  ice  dealers 
of  this  town. 

1.  North  Smithfield. 

2.  Remington  P.  Capwell,  M.  D.,  health  officer. 

3.  Scarlet  fever  was  quite  prevalent  in  the  town  during  the  latter  part 


IS!)!).  J  SKCIiKTAKV's    llKPOltT.  71 

of  the  j-ear,  tlicic  lu'iui,'  ninctocn  cases  of  tliis  disease,  hoik;  of  wliich  were 
fatal. 

4.  Isolation  was  inaintained. 

5.  All  of  the  sick  were  isolated. 

(').  All  premises  were  inspected  and  found  in  fairly  }?ood  eondition.  He- 
pairs  were  made  where  necessary.  The  disease  was  probably  imported 
from  outside  the  town. 

7.  Sanitary  inspections  of  school-houses  and  some  private  cess-pools 
were  made  during  the  year. 

8.  No  unhealthy  localities  in  this  town  are  known. 

0.  .Ml  public  nuisances,  unsanitary  premises,  etc.,  are  reported  to  the 
town  council. 

11).  There  has  been,  to  my  knowledge,  no  contamination  of  the  water, 
milk,  or  ice  supplies  of  this  town. 

11.  .Ulan  Schnoir,  of  Slatersville,  and  C.  11.  Day,  of  :Millville,  :\ra.ss., 
are  the  ice  dealers  of  this  town. 

1.  r.VWTUCKET. 

2.  Byron  U.  Richards,  M.  D.,  health  officer. 

3.  There  were  no  epidemics  hi  this  city  during  the  year. 

9.  All  public  nuisances,  unsanitary  premises,  etc.,  are  reported  to  the 
city  council. 

10.  The  only  ice  contamination  known  to  me  is  the  pollution  of  the 
Moshassuck  river  by  manufacturing  plants. 

11.  The  City,  Crystal,  Pawtucket,  Seekonk,  and  Union  Ice  Companies 
are  the  ice  dealers  of  this  city. 

1.    Providence. 

removal  of  privy  vaults. 

As  has  been  the  case  during'the  past  few  years,  particular  attention  has 
been  given  to  the  removal  of  privy  vaults.  I  have  always  believed  that 
the  worst  nuisance  and  the  most  dangerous  nuisance  in  the  city  is  the 
l)rivy  vaults.  During  the  past  year  480  vaults  have  been  abolished,  and 
only  (mQ  remain  on  sewered  streets.  Many  of  these  belonged  to  that  class 
of  persons  wiio  never  make  improvements  unless  obliged  to.  These  cases 
entail  a  great  amount  of  work,  and  the  chief  inspector's  time  has  been 
largely  occupied  with  them.    Thirty-five  warrants  were  issued  for  persons 


72  STATE    BOARD    OF    HEALTH.  [1899. 

who  persistently  refused  to  obey  the  orders  of  your  board,  but  most  of  the 
cases  were  discontmued  on  the  payment  of  costs  as  soon  as  the  work  was 
completed.  Special  thanks  are  due  the  chief  of  police  for  his  assistance  in 
securing  obedience  to  the  orders  of  your  board. 

SWILL. 

During  the  year  swill  was  collected  as  heretofore  by  Messrs.  A.  H.  &  J. 
Barney.  Their  contract  to  collect  and  dispose  of  the  swill  at  the  rate  of 
15i  cents  per  capita  per  annum  expired  May  1st,  and  since  that  time  they 
have  continued  to  do  the  work  under  a  temporary  arrangement.  The 
amount  paid  has  been  $2,144.17  per  month. 

INSPECTION  OF  PROVISIONS. 

The  inspector  of  provisions  has  faithfully  performed  his  work  during 
the  year  and  has  done  much  to  improve  the  quality  of  the  goods  sold,  par- 
ticularly the  meat  and  poultry.  Special  attention  has  been  given  to  the 
enforcement  of  the  statute  in  regard  to  "bob  veal,"  so  called.  A  good 
deal  has  been  seized  and  the  business  has  been  restricted,  but  considerable 
is  still  sold,  as  the  profits  of  the  business  offer  inducement  for  dealers  to 
engage  in  it.  The  inspector  devotes  his  attention  to  perishable  goods  only, 
meats,  poultry,  fish,  vegetables,  fruit,  and  the  like.  The  detection  of  the 
adulteration  of  groceries  is  not  a  part  of  his  work.  There  is  no  law  of  any 
value  in  this  State  concerning  the  adulteration  of  food.  Such  a  law,  with 
inspectors  appointed  by  the  State,  would  undoubtedly  save  consumers 
many  times  more  than  the  execution  of  the  law  would  cost. 

BABY   FARMS. 

In  1898  there  were  eight  baby  farms  licensed  under  Chapter  464  of  the 
Public  Laws.  These  eight  parties  were  licensed  to  care  for  twelve  children 
collectively.  In  1899  there  were  14  licenses  for  35  children,  but  probably 
not  more  than  one-third  of  that  number  of  children  were  received  for 
board  at  any  one  time.  There  are  no  baby  farms  in  the  ordinary  accepta- 
tion of  the  term  in  the  city,  that  is  there  are  no  places  where  large  num- 
bers of  children  are  kept  together  under  poor  surroundings  and  with 
neglect  of  all  sanitary  precautions.  This  is  owing  partly  to  the  new  law 
and  partly  to  the  provi,sion  made  by  the  St.  Vincent  de  Paul  Asylum  and 
the  Lying-in  Hospital  for  those  persons  who  would  otherwise  be  patrons 
of  baby  farms. 


IS'JIJ.J 


SECRBTAKY  S    lti;i'(JlCT. 


73 


DISINFECTION. 

Disiiifcc'tiuu  after  eoiiinnuiicahle  disease  in  the  city  is  not  coniitulsory, 
and  is  only  done  at  tlie  re(iuest  of  tlie  family.  It  is  done  by  this  depart- 
ment witiiont  charge.  Tlie  following  are  the  nnmber  of  disinfecticjns 
since  18SS : 


Year. 

Scarlet  Fever. 

Diphtheria. 

Phthisis. 

Miscellaneous. 

Total. 

1888  1894  

1,210 

1895 

555 
338 
264 
223 
301 

188 

558' 

478 

129 

145 

1 

16 
10 
20 
22 

11 
27 
27 
14 
32 

755 

1896 

939 

1897 

779 

1898 

386 

189'j 

500 

Total 

1,681 

1,498 

69 

111 

4,569 

Formaldehyde  disiufection  has  been  done  in  nearly  every  instance. 
During  the  first  nine  months  Novy's  apparatus  was  used,  but  during  the 
last  part  of  the  year  the  sheet  method,  as  used  in  Chicago,  was  adopted. 
Considerable  steam  disinfection  is  also  done.  Corrosive  sublimate  and 
formalin  are  left  at  nearly  every  infected  house,  with  directions  as  to  their 
use. 

VACCINATION. 

During  tlie  year  1890  the  number  of  persons  vaccinated  was  2,863.  The 
only  public  vaccination  has  been  at  the  fourth  ward  room,  on  Fountain 
street,  Saturday  afternoons,  irumanized  virus  is  largely  employed.  The 
number  of  transfers  of  humanized  virus  in  1899  was  33,  making  the  total 
number  of  transfers  since  1808,  when  an  accurate  record  was  begun,  038. 
The  number  of  certificates  of  vaccination  issued  was  2,050.  The  following 
table  gives  the  number  of  persons  vaccinated  and  the  number  of  certifi- 
cates issued  from  1850  to  1890,  and  during  each  year  since  that  time. 


10 


74 


STATE   BOARD    OF   HEALTH. 


[1899. 


Year. 


1856-1880 

1881-1890 ■.... 

1891 

1892 

1893 

1894 

1895 

1896 

1897 

1898 

1899 

Total,  1856-1899 


CONTAGIOUS  DISEASE  HOSPITAL. 

The  contagious  or  "city  ward"  of  the  Rhode  Island  Hospital,  a 
description  of  which  may  be  found  in  my  report  for  1896,  page  3Y,  was 
built  by  the  city  on  the  grounds  of  the  Rhode  Island  Hospital,  and  was 
opened  January  13,  1896,  The  ward  is  maintained  by  the  Rhode  Island 
Hospital,  and  the  city  pays  $15  per  week  for  every  patient  sent  to  the 
hospital  by  this  department.  During  the  year  there  were  removed  to  the 
hospital  under  my  direction  ninety-three  cases,  and  the  total  expense  to 
the  city  for  caring  for  them  was  $4,390.06. 

The  Rhode  Island  Hospital  lirst  began  to  receive  patients  with  scarlet 
fever  and  diphtheria  in  1891,  and  the  following  shows  the  number  of  cases 
admitted  since  that  time,  and  also  the  number  of  deaths  that  occurred  in 
the  hospital : 


1899.] 


secretary's  report. 


75 


Year. 


1891 

1895 

1893 

1984 

1895 

1896 

1897 

1898 

1899 

Totals 


Scarlet  Fever. 
Cases.      Deaths. 


221 


Diphtheria. 


Cases.      Deaths. 


4 

4 

5 

4 

27 

108 

57 

70 

47 


321 


Total 
Cases. 


10 
17 
25 
31 
64 
1.S8 
79 
91 
93* 


Expense. 


$486  48 
1,558  36 
1.267  77 
2,297  07 
3,614  78 
4,679  64 
4,924  35 
8.404  74 
4,890  06 


548*       $26,618  20 


'Measles,  6. 


INFECTIOUS  DISEASES. 


3reasles  caused  27  deaths  in  1899.  Physicians  are  now  required  to  report 
this  disease  ;  but  comparatively  few  cases  are  reported,  due  chiefly  to  the 
fact  that  in  measles  the  doctor  is  rarely  called.  The  number  reported  in 
1899  was  451,  in  1S9S  it  was  48,  in  1897  it  was  84,  in  189G  it  was  278. 

Whooping  cough  caused  59  deaths  in  1899. 

Physicians  are  required  to  report  certain  communicable  diseases,  but 
sometimes  neglect  it.  The  following  is  the  number  of  cases  not  reported 
since  1890  : 


Year. 

Scarlet  Fever. 

Typhoid  Fever. 

Diphtheria. 

1891 

6 

6 

11 

24 

18 

6 

5 

11 

2 

7 
6 
9 
12 
13 
13 
12 
33 
0 

9 

1892 

1 

1893  

2 

1894 

1895..   

1 
8 

1896 

10 

1897 

6 

1898 

6 

1899 

2 

76  STATE   BOAED    OP   HEALTH.  [1899. 

In  addition  to  the  above,  during  1899,  ten  cases  of  scarlet  fever,  5  of 
diplitheria,  and  4  of  small-pox  were  discovered  by  the  medical  inspector 
where  there  was  no  physician  in  attendance.  The  law  requiring  the  re- 
port of  measles  is  very  often  neglected,  and  only  a  small  proportion  of  the 
unreported  cases  ever  come  to  the  notice  of  the  health  department. 

The  following  pages  contain  an  account  of  the  cases  of  communicable 
disease  that  came  under  the  notice  of  this  department  during  the  last 
sixteen  years  : 

TYPHOID   FEVER. 

During  the  year  there  were  150  cases  of  typhoid  fever  reported.  There 
were  42  deaths  from  this  disease,  the  ratio  of  deaths  to  cases  being  28.00. 

In  9  instances  there  was  more  than  1  case  in  a  house.  In  one  house  5 
cases,  in  three  3  cases,  and  in  the  others  2  cases.  As  is  usvial,  a  consider- 
able number  of  the  cases  were  contracted  outside  of  the  city. 

DIPHTHERIA. 

In  24  families,  including  35  cases  which  were  reckoned  as  diphtheria,  at 
no  time  were  any  diphtheria  bacilli  found,  and  the  diagnosis  rested  on 
clinical  signs  alone.  In  11  of  these  families  deaths  occurred,  and  from 
only  two  of  the  persons  who  died  was  any  culture  taken  by  the  physician. 
In  one  of  these  cases  one  culture  was  taken,  and  from  the  other  two  cult- 
ures on  the  day  of  death,  but  they  were  both  negative.  In  29  instances 
the  attending  physician  did  not  take  a  culture,  being  satisfied  from  clinical 
signs  that  the  case  was  diphtheria.  In  many  of  these  the  patient  was 
very  ill  when  the  physician  was  called,  and  he  did  not  deem  it  necessary  to 
further  disturb  it  by  taking  a  culture.  It  appears  then  that  in  only  about 
one  quarter  of  the  cases  in  this  city  during  the  past  year  did  the  physician 
venture  to  rely  on  clinical  signs  alone  in  making  his  diagnosis. 

In  7  persons  the  first  culture  showed  no  bacilli  present,  but  in  five  of 
these  it  was  found  on  the  second  culture,  and  in  two  on  the  third  culture. 
In  13  persons  who  were  sick  no  diphtheria  bacilli  were  found,  though  they 
were  found  in  other  members  of  the  family.  In  5  of  these  only  1  culture 
was  taken,  in  5  of  them  2  cultures,  and  in  3  of  them  3  cultures,  none  of 
which  showed  the  presence  of  bacilli,  although  there  were  very  good  rea- 
son to  believe  that  they  were  all  cases  of  diphtheria. 

During  the  year  3,574  cultures  were  examined  for  diphtheria  bacilli, 
which  indicates  a  far  greater  effort  than  has  probably  been  made  in  any 
other  city  to  search  out  and  isolate  those  infected  with  this  organism. 

During  the  year  there  were  198  cases  of  diphtheria,  with  33  deaths,  or  a 
ratio  of  deaths  to  cases  of  16.66. 


1899.J 


SECRETARY  S    REF'ORT. 


77 


The  following  table  shows  the  number  and  percentage  of  persons  of 
different  ages  exposed  to  diphtlieria  who  contracted  it,  and  the  number 
who  did  not.  This  table  includes  both  the  Klebs-Loeftler  diphtheria  and 
clinical  diphtheria.  When  I  began  to  collect  these  facts  in  issfi,  the  in- 
spector was  not  careful  to  obtain  the  age  in  every  case,  so  that  until  1890 
only  a  portion  of  the  cases  are  contained  in  the  table,  and  it  was  only  since 
180:3  that  the  facts  in  regard  to  all  the  adults  in  the  family  were  obtained. 

The  number  exposed  means  all  the  members  of  the  family  where  the 
disease  occurred  : 

DIPHTHERIA. 


Cases. 


Ages. 


Under  1  year  . . 

1  •■     . 

2  years.. 

3  "     .. 

4  '• 

5  ■■     .. 

c    ■• 


Adults 


Totals. 


189 


176 

296 

299 

338 

318 

274 

230 

220 

151 

144 

122 

125 

SO 

58 

43 

39 

51 

28 

27 

28 

477 


Number  Exposed. 
INCLUDING  Cases. 


3611 


59  130 

43  114 

I 
74,  156 

164 

168 


71 
75 
68 
69 
58 
52 
49 
39 
53 
28 
33 
17 
30 
12 
14 

8 

9 
752  1286 


41 
1386 


1689  38748113 


67  31 
36|  44 
39  38 


37  35 

48  86 


36 


24 
33 
84|  22 
28  18 


1664 


1181'  760 


409 
355 
444 
449 
501 
490 
442 
425 
421 
329 
321 
258 
301 
228 
205 
193 
177 
147 
139 
107 
95 
5315 


11,781 


OS 


21.2 
49.5 
66.6 
66.5 
67.4 
64.8 
61.9 
54.1 
52.2 
45.8 
44.8 
47.2 
41.5 
85.0 
28.2 
22.2 
22.0 
34.6 
20.1 
25.2 
29.4 
8.9 

80.6 


78  STATE    BOAED    OF   HEALTH.  [1899. 

The  cases  which  occurred  in  public  institutions  are  not  included  in  the 
above  table. 

On  February  27th  a  case  of  diphtheria  was  reported  at  the  Lying-in 
Hospital.  The  child  was  fifteen  days  old  and  was  at  once  removed  to  the 
Ehode  Island  Hospital,  where  it  died  the  next  day.  A  culture  taken  Feb- 
ruary 27th  showed  diphtheria  bacilli  present.  On  February  28th  a  culture 
was  taken  from  the  throats  of  all  the  mothers  and  children  and  nurses  in 
the  hospital,  with  the  result  that  all  were  negative  except  two,  in  which 
there  was  no  growth  on  the  tube.  On  March  4th  another  child  six  months 
old  became  sick,  and  a  culture  from  the  throat  showed  the  presence  of 
diphtheria  bacilli.  Two  days  later  he  was  removed  to  the  Rhode  Island 
Hospital.  On  March  6th  and  7th  cultures  were  taken  from  both  the  throat 
and  nose  of  every  person  connected  with  the  institution,  including  the 
visiting  physician.  Diphtheria  bacilli  were  found  in  three  persons, 
one  of  whom  was  removed  to  the  Rhode  Island  Hospital.  By  this  time  it 
was  determined  to  utilize  a  small  house  in  the  rear  as  a  detention  ward  for 
all  persons  in  the  institution  who  were  found  to  have  diphtheria  bacilli  in 
their  throats  or  nose.  In  all  eight  examinations  were  made  of  all  persons 
in  the  institution  to  weed  out  those  who  showed  the  bacilli.  The  last  of 
these  cultures  was  taken  March  19th,  after  which  the  main  hospital  was 
disinfected  thoroughly  with  formaldehyde,  corrosive  sublimate  and  steam. 
The  infected  persons  in  the  detention  ward  were  not  discharged  until  three 
successive  negative  cultures  had  been  obtained.  This  house  was  then  dis- 
infected. There  has  since  then  been  no  diphtheria  in  the  institution,  but 
no  cultures  have  been  taken  to  show  whether  diphtheria  bacilli  still 
persist.  On  March  6th  antitoxin  was  administered  to  every  one  in  the 
institution.  After  that  date  there  was  no  one  who  appeared  to  be  sick 
with  diphtheria,  but  on  April  11th  one  child  died  with  what  appeared  to  be 
diphtheritic  paralysis,  though  he  had  not  at  any  time  been  appreciably  ill. 

At  the  Rhode  Island  Institute  for  the  Deaf,  during  1898,  there  had  been 
several  cases  of  not  very  severe  sore  throats,  which,  on  examination, 
showed  the  presence  of  diphtheria  bacilli.  These  cases  were  always  isolated 
and  generally  removed  to  the  Rhode  Island  Hospital.  After  the  last  case  in 
1898  on  December  15th  every  person  connected  with  the  institution  had  a 
negative  culture  from  the  throat.  During  the  winter  and  spring  of  1899 
there  were  fifteen  cases  of  sore  throat  in  the  school  which  were  examined 
with  negative  results.  On  November  13th  a  case  was  found  with  diphtheria 
bacilli  present,  and  on  November  17th  every  throat  was  again  examined, 
with  the  result  of  discovering  two  infected  with  diphtheria  bacilli.  On 
the  19th  cultures  were  taken  from  both  the  throat  and  nose  of  each  per- 


1899.1  secretary's    KKl'OKT.  79 

sou,  resulting  in  the  discovery  of  over  a  dozeu  cases  iufected  witli  diph- 
theria bacilli.  Similar  exaniiuations  were  made  on  Xoveml)er  21st.  2.">th, 
and  27th.  The  iufected  persons  were  isolated  and  kept  so  until  two  or 
three  successive  negative  cultures  were  obtained  from  both  throat  and 
nose.  Pretty  thorough  disinfection  was  secured  by  the  use  of  formalde- 
hyde and  corrosive  sublimate,  and  some  of  the  wards  were  disinfected 
several  times.  At  the  time  of  the  Christmas  vacation  the  institution  was 
apparently  free  from  dii)htheria  bacilli,  and  tlie  children  were  sent  to  their 
homes.  Afterwards  they  returned  to  tlie  school,  and  on  January  7,  1000, 
another  case  was  discovered,  and,  at  the  present  writing,  February  8,  lUOO, 
the  school  is  not  free  from  infection. 

On  December  2!)tli  a  child  died  at  St.  Vincent's  Asylum  of  diphtheritic 
croup,  but  subsequent  history  of  the  infection  at  this  Institution  must  be 
left  for  another  report,  as  the  card  still  remains  up  at  the  present  writing. 

The  following  table  is  similar  to  that  found  on  page  77,  but  contains 
only  cases  from  families  in  which  Klebs-Loeffler  bacilli  were  found.  It 
does  not  include  institution  cases. 


80  STATE    BOAED    OF   HEALTH.  [1899. 

CASES  FROM  FAMILIES    WHEKE   KLEBS-LOEFFLER   BACILLI    WERE    FOUND. 


Ages. 


Under  1  year. 

1  "    . 

2  years 

3  " 

4  " 

5  " 

6  " 

7  '^ 

8  " 

9  " 

10  " 

11  " 

12  " 

13  " 

14  " 

15  " 

16  " 

17  " 

18  " 

19  " 

20  " 
Adults 

Totals 


Cases. 


CO 
UO 

C30 

00 

00 

11 

10 

6 

5 

37 

27 

17 

3 

48 

36 

26 

18 

49 

37 

19 

17 

61 

50 

33 

15 

48 

62 

30 

10 

47 

54 

25 

12 

47 

41 

10 

12 

50 

36 

18 

6 

39 

29 

8 

4 

30 

22 

12 

8 

31 

16 

11 

4 

13 

17 

13 

3 

19 

13 

10 

2 

13 

11 

3 

2 

10 

4 

5 

3 

8 

5 

4 

3 

10 

9 

2 

4 

2 

3 

3 

2 

8 

6 

0 

0 

5 

1 

0 

3 

75 

64 

35 

10 

661 

553 

290 

154 

Totals. 


33 
84 
128 
122 
159 
150 
138 
119 
110 
80 
72 
62 
46 
44 
29 
22 
20 
25 
10 
14 
9 
192 


1,658 


NuMBBE  Exposed. 


77 
91 
94 
114 
113 
91 
104 
102 
73 
66 
79 
49 
53 
59 
40 
33 
33 
26 
29 
31 


2,417 


63 
33 
35 
27 
38 
28 
38 
29 
43 
33 
35 
23 
29 
30 
21 
29 
16 
23 
11 
13 
13 
862 


1,472 


32 
44 
38 
36 
57 
46 
44 
35 
36 
28 
35 
25 
33 
22 
18 
20 
19 
12 
20 

3 

572 


1,181 


627 


Totals, 


189 
164 
187 
183 
234 
211 
197 
190 
196 
146 
151 
134 
129 
114 
112 
101 
78 
72 
64 
55 
52 
2,738 


5,697 


16.9 
51.2 
68.4 
66.6 
67.9 
71.0 
70.0 
57.8 
56.1 
54.7 
47.6  < 
46.2 
35.7 
38.5 
25.8 
21.7 
25.6 
34.7 
15.6 
25.4 
17.3 
7.0 

29.1 


The  following  shows  certani  facts  m  the  natural  history  of  diphtheria  : 

1889-90.    1891-95.       1898.  1897.  1898.        1899.    Totals. 

Number  of  families  in  which  there 

was  more  than  one  child 233  574  433  326  161  107  1,834 

Number  of  these  in  which  there 

was  more  than  one  case 89  179  172  125  57  35  657 

Number  of   children   in    all    the 

above  families 894  1,614  1,690  1,262  643  458     '    6,560 


ISU'J.J  secretary's  KEi'oirr.  81 

1889  !)0.     180195.        ISOG.  1897.  189S.         1899.    T.itul.s. 

NiiinljL'r  iif  tlit'so  cliildrcn  wlio 
wore  attiicked '1^2  'i'lO  793  .'■>78  287  191  3,(«1 

Number  of  adilitioii.'il  fatniliu.s 
with  t'liitdren  ill  the siimn  lioiise.       97  829  323  S.')!  119  79  1,201 

Number  of  children  in  the.se  fami- 
lies       202  854  898  CO.")  311  19!)  3.189 

Number  of  these  additional  fami- 
lies attacked 18  24  30  9  II  2  94 

Numiier  of  children  in  tliese  fami- 
lies who  were  attacked 2.5  28  55  20  13  7  153 

Number  of  tenements  which  were 
disinfected  where  there  were 
other  families  with  children  in 
the  house 23  108  192  188  82  59  G.52 

Number  of  instances  of  the  above 
where  the  disease  spread  to 
other  families  in  the  house 5  10  11  9  11  1  47 

Number  of  well  children  who 
were  at  once  removed 54  202  141  ITG  71  57  701 

Number  of  those  who  were  at- 
tacked on  their  return 2  7  0  3  1  0  13 

As  ill  previous  years,  the  safety  of  other  families  hi  tlie  house  is  sliowu 
to  be  very  great.  In  only  2  of  79  cases  did  the  disease  extend  beyond  the 
(irst  family  attacked.  But  in  three  other  instances  diphtheria  bacilli 
were  found  in  other  than  the  initial  family.  In  all  of  these  cases  communi- 
cation was  free  between  the  families.  In  no  case  did  the  disease  extend 
beyond  one  family,  where  there  was  any  isolation  at  all.  Of  the  57  chil- 
(Iron  who  were  sent  away  from  home,  not  one  acquired  the  disease  on  its 
n-tiun  to  its  home  after  the  card  had  been  removed.  In  other  houses, 
wiu'ii  the  sick  person  was  removed  to  the  hospital  not  one  of  the  24  chil- 
dren left  at  home  was  attacked  after  the  return  of  the  sick  one  from  tlic 
hospital. 

The  following  table  shows  the  number  of  persons  exposed  to  diphtheria 
who  had  diphtheria  bacilli  in  their  throats,  and  who  were  not  sick, 
and  also  the  number  exposed,  in  the  same  families,  who  did  not  have 
bacilli  in  tlicir  tliroats,  and  who  were  not  sick.  This  tal)U'  may  prolitably 
\h'  conipared  with  the  table  on  page  77,  wiiich  shows  the  nuinlu'r  of 
exposed  persons  who  were  sick  : 


82 


STATE    BOARD    OF   HEALTH. 


[1899. 


WELL    PERSONS    IN    FAMILIES    WHERE    THERE    WAS    DIPHTHERIA    WHOSE 
THROATS  WERE  EXAMINED  FOR  DIPHTHERIA. 


Ages. 


Under  1  year . , 

1  "    .. 
3  years 

3  " 

4  " 

5  " 

6  " 

7  " 

8  " 

9  " 

10  " 

11  " 
13   " 

13  " 

14  " 

15  " 

16  " 

17  " 

18  " 

19  " 

20  " 
Adults 

Totals... 


Persons  Examined. 


1897.   1898.   1899.   Total 


36 
34 
33 

28 
34 
39 
43 
36 
41 
34 
37 
20 
39 
34 
31 
23 
12 
16 
13 
9 
10 
653 


1,324 


10 
6 

10 
9 

11 
9 
5 

10 
2 
4 
5 
5 
4 
1 
159 


298 


18 
14 
12 
10 
15 
16 
17 
18 
11 
'  10 
15 

6 
16 

6 
13 
14 

4 
8 
7 
1 
336 


580 


57 
59 
47 
51 
58 
53 
67 
64 
58 
54 
61 
37 
54 
45 
44 
39 
23 
25 
36 
30 
12 
1,148 


2,102 


Number  in  which  Bacilli 
Were  Found. 


1897. 


1899. 


82 


87 


Total. 


153 


359 


14.0 
10.1 
27.6 
21.4 
37.9 
15.0 
37.3 
23.4 
24.1 
22.2 
23.9 
10.8 
34.0 
33.3 
23.7 

7.6 
13.0 
28.0 

7.6 
15.0 


17.0 


All  the  persons  above  mentioned  who  had  diphtheria  bacilli  in  their 
throats  were  isolated  just  as  if  they  presented  clinical  symptoms.  Of  the 
74  persons  isolated  30  were  children,  and  of  the  44  adults  20  were  women. 

During  1897  and  1898  no  record  was  kept  by  this  department  of  the  use 
of  antitoxin.  During  these  years  the  use  of  this  remedy  undoubtedly  in- 
creased, and  it  was  deemed  advisable  in  1899  to  again  collect  data  in  regard 
to  it.    In  all  antitoxin  was  given  to  106  persons,  of  whom  17,  or  16.04  per 


1899.]  secretauy's  report.  83 

cent,  died  ;  30  of  these  were  treated  in  tlie  liospital,  and  of  these  .">,  or 
10.0(t  per  cent.,  died.  Tliere  were  '.»4  cases  of  diplitheria  in  whidi  antitoxin 
was  not  used,  with  K!  deaths,  giving  a  fatality  of  17.02.  In  12  of  the  cases 
and  3  of  tlie  deatlis  where  antitoxin  was  used,  eitlier  no  culture  was  taken, 
or  else  no  bacilli  were  found.  In  all  the  others  treated  with  antitoxin 
diphtheria  bacilli  were  found.  It  may  fairly  be  said,  I  think,  that  in  the 
majority  of  the  milder  cases  antitoxin  is  not  given,  so  that  as  a  rule  the 
non-antitoxin  cases  are  not  so  severe  as  the  antitoxin  cases,  but  whether 
this  is  surticient  to  account  for  the  apparent  failure  of  antitoxin  to  give 
the  results  reported  from  other  cities  I  am  not  prepared  to  say.  Antitoxui 
was  used  for  immunization  in  17  instances  in  private  families,  in  none  of 
which  the  disease  afterwards  developed.  It  was  used  in  about  sixty  per- 
sons at  the  Lying-in  Hospital.  One  of  the  little  children  so  treated  died 
about  four  weeks  after  injection,  apparently  of  diphtheretic  paralysis, 
although  it  had  not  been  otherwise  sick.  Most  of  the  antitoxin  used  was 
distributed  by  the  State  board  of  health,  very  little  being  furnished  by 
this  department. 

There  were  11  deaths  from  croup,  and  one  case  of  croup  which  did  not 
die.  In  several  of  these,  cultures  were  taken,  and  no  diphtheria  bacilli 
found.  If  these  12  cases  of  croup  should  be  counted  in  with  the  cases  in 
which  antitoxin  was  Uot  used  (for  it  was  used  in  none  of  them),  the  fatality 
would  be  23.58. 

SCARLET  FEVER. 

During  the  year  there  were  4SS  cases  of  scarlet  fever,  with  10  deaths,  or  a 
ratio  of  deaths  to  cases  of  9.24. 

The  following  table  gives  the  result  of  my  observations,  during  the  past 
twelve  years,  concerning  certam  pohits  hi  the  etiology  and  prevention  of 
scarlet  fever.  This  table,  for  the  years  previous  to  1802,  does  not  include 
all  the  families  and  cases  : 

1887-90.    1891-95.  189G.        1897.        1898.        1899.     Totals. 

Number  of  families  in  which  there 

was  more  than  one  susceptible 

child 615  l.COO  305  174  178  267  3.\S9 

Number  of  these  in  which  there 

was  a  second  case 334  711  128  58  68  90  1.389 

Number  of  susceptible  children  in 

all  the  above  families 2,270  5.571  1,032  644  6.".5  992        n.liVl 

Number   of    these    children    who 

were  attacked 1,194  2,935  526  318  322  477  5.772 


84 


STATE    BOAED    OF   HEALTH. 


[1899. 


1887-90.     1891-95. 

Number  of  additional  families  with 
susceptible  children  in  the  same 
house 273  817 

Number  of  susceptible  children  in 
these  families 799         2,259 

Number  of  these  additional  fami- 
lies attacked 45  91 

Number  of  children  in  these  fami- 
lies who  were  attacked 81  157 

Number  of  tenements  disinfected 
where  there  were  other  families 
with  susceptible  children  in  the 
house 119  374 

Number  of  above  where  the  dis- 
ease spread  to  other  families  in 
the  house 10  9 

Number  of  susceptible  children 
who  were  at  once  removed 60  374 

Number  of  these  who  were  at- 
tacked on  their  return 4  20 

Number  of  children  who  were  ex- 
posed and  who  had  previously 
had  scarlet  fever 278 

Number  of  these  who  were  at- 
tacked a  second  time 40 

Number  of  adults  who  were  ex- 
posed and  who  had  previously 
had  scarlet  fever 541 

Number  of  these  who  were  at- 
tacked a  second  time 10 

Number  of  families  with  suscepti- 
ble children  where  there  was  iso- 
lation   285 

Number  of  families  where  more 
than  one  child  was  attacked 97 

Number  of  susceptible  children  in 
families  where  there  was  isola- 
tion   758 

Number  of  the  above  who  were 
attacked 309 


1890.        1897.        1898.        1899.    Totals. 


197 


545 


139 


10 


112 


20 


132 


106 


161 


83 


79 


48 


27 


143 


60 


84 


82 


63 


87 


206  1,738 

628  4,866 

5  173 

9  309 

137  939 

0  36 

134  930 


73  588 


155 

982 

0 

12 

64 

490 

18 

170 

220 

1,436 

104 

616 

Of  the  206  instances  where  there  was  more  than  one  family  in  the  in- 
fected house  the  other  families  were  invaded  in  only  5  cases,  and  in  all 
of  these  there  was  free  commmiication  between  the  families,  and  in  3  of 
these  the  disease  spread  from  the  initial  family  before  the  disease  was 
recognized,  or  at  least  before  the  case  was  reported.    In  no  instance  did 


1809,]  SKCUKTARY's   RKl'ORT.  85 

tlie  disease  spread  to  another  family  after  the  card  was  removed.  Of  the 
1:54  children  who  were  removed  from  home  as  soon  as  the  disease  was 
recognized,  4  were  attacked  while  away,  1  on  the  first  day,  1  on  the  fourth 
day,  1  on  the  sixth  day,  and  1  on  the  seventli  day  after  removal.  These 
were  probably  hifected  before  removal.  The  others  escaped  both  while 
away  and  after  their  retuni.  Patients  were  removed  to  the  hospital  from 
22  families  In  which  there  remained  53  susceptible  children,  of  whom  one 
was  attacked  on  the  return  of  the  patient  from  the  hospital.  In  that 
case  the  patient  was  taken  sick  November  21st,  went  to  hospital  No- 
vember 2:)d,  returned  December  27th,  and  the  other  child  was  taken  sick 
January  3d.  When  the  inspector  called  January  4th  the  hospital  child 
was  desquamating  freely,  though  the  hospital  authorities  stated  that  there 
was  no  sign  of  desquamation  when  it  left  the  hospital. 

The  following  table  shows  the  number  and  percentage  of  persons  of 
different  ages  exposed  to  scarlet  fever  who  contracted  it,  and  also  the 
number  who  did  not.  When  I  began  to  collect  these  facts  the  inspector 
was  not  careful  to  obtain  the  age  in  every  case,  so  that  until  1890  only  a 
portion  of  the  cases  are  contained  in  the  table,  and  it  was  only  in  1S94 
that  the  facts  in  regard  to  all  adults  in  the  family  were  obtained  : 


8.6 


STATE   BOAED   OF  HEALTH. 


[1899. 


SCARLET  FEVER. 


Number  Exposed,  In 

CLUDING 

"d 

Cases. 

0  m 

CO  Q, 

Cases. 

Ages. 

o 
i- 

4 

CO 

to 

00 

oo 

00 

00 

"3 
o 

Eh 

o 
oo 

1 

to 

00 

00 

2B 

CO 

00 

"3 
o 

Under  1  year . . 

29 

117 

10 

11 

7 

8 

182 

117 

425 

49 

24 

38 

61 

714 

25.4 

1  "  .. 

39 

160 

34 

15 

9 

21 

278 

93 

302 

34 

19 

37 

57 

602 

46.1 

2  years  . 

108 

257 

43 

24 

29 

30 

491 

193 

478 

32 

23 

44 

54 

824 

59.5 

3   "   . 

108 

320 

54 

32 

31 

41 

586 

190 

554 

25 

19 

46 

76 

910 

64.3 

4   "   . 

116 

309 

59 

35 

25 

60 

604 

186 

.518 

26 

16 

42 

87 

875 

69.0 

5   "   . 

91 

383 

61 

.32 

41 

61 

669 

197 

621 

24 

13 

61 

88 

1,004 

66.6 

6  •'   . 

113 

348 

52 

30 

32 

49 

624 

188 

559 

27 

12 

47 

78 

911 

68.4 

7  "   . 

103 

326 

53 

32 

32 

47 

593 

169 

581 

23 

15 

48 

72 

908 

65.3 

8  "   . 

83 

223 

43 

31 

17 

30 

427 

168 

436 

30 

10 

36 

53 

733 

58.2 

9  "   . 

74 

194 

27 

18 

19 

31 

363 

166 

380 

21 

17 

39 

53 

676 

53.6 

10   "   . 

51 

157 

33 

14 

15 

17 

287 

96 

339 

19 

15 

38 

46 

553 

51.8 

11   "   . 

43 

113 

23 

4 

10 

22 

215 

104 

252 

19 

16 

26 

49 

466 

46.1 

12  "   . 

34 

104 

23 

8 

8 

10 

187 

104 

266 

22 

13 

21 

32 

458 

40.8 

13  '•   . 

33 

69 

7 

6 

12 

5 

132 

83 

199 

24 

14 

23 

35 

378 

34.9 

14  "   . 

21 

67 

11 

4 

8 

8 

119 

76 

191 

23 

19 

23 

35 

367 

32.4 

15  "   . 

18 

41 

8 

2 

1 

6 

76 

67 

142 

13 

13 

12 

26 

273 

27.8 

16  "   . 

12 

33 

8 

4 

1 

2 

60 

47 

139 

20 

16 

14 

18 

254 

23.6 

17  "   . 

8 

28 

5 

3 

1 

5 

50 

33 

104 

15 

18 

12 

19 

201 

24.8 

18  "   . 

4 

19 

3 

5 

8 

34 

10 

98 

19 

14 

15 

17 

173 

19.6 

19  "   , 

6 

17 

3 

5 

4 

35 

16 

86 

22 

12 

10 

17 

163 

21.4 

20  "   . 

8 

17 

2 

2 

29 

18 

76 

23 

8 

12 

11 

148 

19.5 

Adults 

42 

169 

23 

13 

15 

15 

277 
6,318 

106 

2,427 

2,952 

838 

506 

510 

792 

5,704 

4.8 

Total 

1,144 

3,471 

583 

323 

320 

477 

9,758 

1,348 

832 

1,154 

1,776 

17,295 

36.5 

Besides  the  above,  one  case  occurred  at  the  Home  for  the  Society  for  the 
Prevention  of  Cruelty  to  Children,  January  4th,  and  one  at  Brown  Uni- 
versity, April  30th,  both  of  which  were  removed  to  the  Rhode  Island 
Hospital,  and  no  other  cases  developed.  On  January  4th  there  was  a  case 
at  St.  Aloysius  Asylum,  which  was  removed  to  the  hospital,  and  no  other 
case  occurred  there  until  October  8th,  when  another  case  was  removed  to 


isi)!.i.  I  secretaky'r  kki'ort.  87 

tlic  hospital.  <)ii  ()cti>l)t'r  Islli  and  Xovciiil)ci  liiid  an  additional  case  was 
removed.  At  t]\v  St.  \'incent's  ,\syliini  a  case  wa.s  di.scctvfrcd  and 
removed  Ai)ril  "tli,  and  anotiier  on  tlie  lotli.  On  Ai)ril  27tii  another  cti.se 
wa.s  fonnd  wliicdi  was  desquamating,  and  on  ('arefnl  iiKjuiry  it  was  decided 
tliat  the  eliild  liad  probably  been  slightly  ill  with  the  disease  on  April 
loth,  and  during  the  entire  interval  had  been  mingling  freely  with  about 
seventy-five  children  from  two  to  four  years  of  age,  yet  during  this  time 
only  three  cases  of  scarlet  fever  developed,  namely,  on  April  10th,  15th, 
and  i'()th. 

SMALL-POX. 

On  February  20th  a  case  of  small-pox  was  discovered  by  Dr.  G.  T.  Swarts 
in  his  skin  clinic  at  the  Rhode  Island  Hospital.  The  patient  had  been 
sitting  with  the  other  patients  for  some  time  before  he  was  discovered. 
Tie  was  speedily  removed  to  the  hospital  at  Field's  Pohit,  and  the  out- 
l)atient  apartments  were  disinfected  with  sulpliur  dioxide  and  washed 
with  corrosive  sublimate.  The  patient  was  a  seaman  on  schooner  Grade  A. 
lUirlnnudi,  which  had  sailed  from  Newport  News,  January  30tli.  On  the 
preceding  night  the  patient  had  been  confined  in  jail  at  Newport  News, 
and  previous  to  that  time  he  had  been  on  his  vessel  since  he  left  Provi- 
dence, January  ITth.  There  was  said  to  be  no  small-pox  in  Newport  News, 
but  there  was  much  in  the  vicinity.  He  said  that  he  began  to  feel  sick 
February  11th,  while  at  sea.  Between  the  arrival  of  the  Buchanan,  Feb- 
ruary 14th  and  February  20tli,  he  had  been  at  a  sailors'  boarding  house  at 
tlie  rear  of  02  Wickenden  street.  The  rooms  that  he  occupied  were  disin- 
fected with  formaldehyde  gas  and  by  spraying  and  washing  with  corrosive 
sublimate,  and  all  textiles  w^ere  treated  by  steam.  The  forecastle  of  the 
Buchanan  was  disinfected  in  the  same  way.  Of  course  all  persons  exposed 
were,  if  possible,  vaccinated  ;  but  the  keeper  of  the  house,  who  had  been 
vaccinated  a  number  of  years  before,  refused  to  be  re-vaccinated.  The 
patient  was  never  vaccinated.  The  disease,  however,  ran  a  mild  course, 
and  he  was  discharged  from  the  hospital  March  20th,  after  disinfection  in 
a  corrosive  sublimate  bath.  Ilis  clothes  were  either  steam  disinfected 
or  were  entirely  new. 

On  April  20th  the  keeper  of  the  boarding  house  at  02  Wickenden  street 
was  found  to  have  a  mild  attack  of  small-pox  which  probably  dated  from 

-Vpril  10th,    Another  Portuguese  sailor,  Julio  G ,  who  roomed  with 

the  keeper  was  taken  sick  at  about  the  same  time.  IJoth  patients  were 
removed  to  the  hospital  on  April  20th  and  the  apartments  disinfected  as 
before.    These  cases  were  both  mild  and  were  discliarged  with  the  usual 


88  STATE   BOARD    OF   HEALTH.  [1899. 

precautions  May  16th  and  18th.  It  appears  to  be  probable  that  both  these 
cases  were  developed  from  the  first  case  at  that  house  through  some  un- 
recognized case  which  had  been  hidden  there  between  the  outbreaks,  and 
which  was  contracted  from  the  first  case  on  his  return  from  the  hospital. 
One  of  these  cases  was  discovered  by  the  attorney  who  owned  the  house, 
and  to  whom  the  keeper  came  to  pay  the  rent.     The  other  case,  Julio 

G ,  was  discovered  by  Dr.  Chas.  H.  Leonard,  when  he  went  to  the 

house  to  vaccinate  the  inmates.  This  patient  was  said  to  have  been  vacci- 
nated eight  years  before,  but  there  was  no  cicatrix  on  his  arm. 

On  May  10th  another  case  was  discovered  on  the  street  by  an  employee 
of  the  shipping  commissioner.  This  case  was  like  the  others,  a  Portuguese 
sailor,  who  was  taken  sick  in  Philadelphia,  May  6th,  where  he  left  his  vessel, 
about  12  days  after  she  had  sailed  from  Fall  Eiver.  He  came  by  train 
and  boat  to  Providence,  and  was  discovered  within  two  hours  after  his 
arrival.  He  was  removed  to  the  hospital  and  disinfection  and  vaccination 
practiced  as  usual.  He  was  discharged  from  the  hospital  June  9th.  He 
had  been  vaccinated  in  infancy  and  presented  a  good  cicatrix.  The  indica- 
tions are  that  the  disease  was  contracted  in  Fall  Kiver,  although  it  is  not 
known  that  there  were  any  cases  there  so  early  as  April,  though  a  number 
were  discovered  about  the  last  of  May. 

On  June  2d,  Antone  G ,  a  Portuguese  sailor,  arrived  by  train  from 

Boston  and  went  to  62  Wickenden  street,  where  he  was  met  in  the  yard  by 
the  agent  of  the  house,  who  recognized  the  case  as  small-pox,  and  at  once 
reported  it  to  this  office.  He  was  immediately  removed  to  the  hospital  at 
Field's  Point,  where  the  disease  ran  a  mild  course  and  he  was  discharged 
July  1st.  There  was  no  cicatrix  to  be  seen,  and  he  said  that  he  was  vacci- 
nated unsuccessfully  at  New  Bedford,  in  April,  when  he  returned  from 
the  Cape  Verde  Islands.  He  had  been  at  62  "Wickenden  street  from  May 
14th  to  17th,  and  then  shipped  on  a  vessel  which  arrived  in  Boston  June 
1st.  He  was  taken  sick  on  board  the  vessel  May  28th,  so  that  he  doubtless 
contracted  the  disease  during  his  short  stay  at  62  "Wickenden  street  from 
May  14  to  17th. 

The  total  cost  of  caring  for  these  five  patients  was  $737.14.  Three  of  the 
men  were  sailors,  and  the  duty  of  caring  for  them  should  have  fallen  on 
the  United  States  Marine  Hospital  Service.  Dr.  B.  J.  Brown,  the  repre. 
sentative  of  that  service  here  recognized  that  duty,  but  had  no  hospital 
facilities  for  meeting  it.  He  therefore  made  arrangements  by  which  the 
Federal  government  paid  board  for  them  at  the  City  hospital  at  the  rate 
of  16  per  day,  which,  however  did  not  cover  the  expenses.  The  amount 
received  from  the  Marine  Hospital  Service  was  $354,  which  unfortunately 


IS'.)!).]  Sia'RETAKY's    RKPUliT.  89 

(lid  not  po  into  tlie  Ilcaltli  Dcitartinciil  approiJiiatioii,  altlionj,'li  tlu'  cx- 
l^'iKst's  came  tmt  of  that  appropriation. 

ClIAKLES    y.    (HAI'lN, 

Superintendent  of  Ilenlth. 

I'orULATION. 

Census,  .hnic  I,  18i)0 .l;32,14ii 

Jan.  1,  1893 14S,".i44 

,J  une  1,  1805 14.5,472 

Kstiuiated,  June  30,  1899  (including  8,000  annexed) 108,000 

ASSESSED   VALUATIOX. 

1898. 

Ileal  estate S142,430,200  00 

Personal  estate 30,127,020  00 


Total sisi,. 588,120  00 

Total  amount  of  all  tax $2,995,708  98 

STKEETS. 

1898. 

raved. 39  .2    miles. 

Curbed  and  built,  but  not  paved 148.55      " 

Huilt,  but  not  curbed 30 .22 

Received,  but  not  built 5.48      " 


1899. 

.sl4G,701,900  00 

41,799,880  00 

$188,501,780  00 

§3,110,279  37 

1899. 

40.32  miles. 

1.50.95 

30.22       " 

2.07       " 

Total 223.45       "  223.50       " 

WATER   AND   SEWERS. 

Miles  of  water  pipes 314.528*  318.033* 

Number  of  service  pipes  in  use 20,473  21,020 

Number  of  meters  in  use 10,388  17. 124 

Average  daily  consumption  of  water 9,148,993  gals.  9,.502.058  gals. 

Miles  of  sewers 168,904  miles.  174,955  miles. 

Number  of  sewer  connections 14,007  14,790 

1.     SciTUATE. — Xo  report  from  the  health  ollicer. 

1.    Smithfield. — No  report  from  the  health  officer. 

»  Besides  5..")69  for  fire  purposes. 
13 


90  STATE    BOAKD    OF   HEALTH.  [1899. 

1.  "WOOKSOCKET. 

2.  George  IST.  Girard,  Leonard  S:  Allen,  and  Ara  M.  Paine,  M.  D.,  health 
officers. 

3.  There  were  no  epidemics  in  this  city  during  the  year.^ 

6.  Particular  inspections  were  made  in  regard  to  a  limited  number  of 
typhoid  fever  cases,  but  probable  cause  for  same  could  not  be  located. 

7.  A  few  sanitary  inspections  were  made  by  order  of  the  board  of  health, 

8.  No  unhealthy  localities  in  this  city  are  known. 

9.  All  public  nuisances,  unsanitary  premises,  etc.,  are  reported  to  the 
city  council. 

10.  There  has  been,  to  our  knowledge,  no  contamination  of  the  water, 
milk,  or  ice  supplies  of  this  city. 

11.  George  H.  Miller,  B.  W.  Jencks,  and  A.  J.  Kelley  are  the  ice  dealers 
of  this  city. 

WASHINGTON  COUNTY. 

1.    Charlestown. — No  report  from  the  health  officer. 

1.    EsETEE. — Has  no  health  officer. 

1.  HOPKINTON. 

2.  George  A.  Langworthy,  health  officer. 

3.  There  were  no  epidemics  in  this  town  during  the  year. 

4.  Isolation  was  maintained. 

5.  All  of  the  sick  were  isolated, 

6.  No  inspections  of  premises  were  made. 

7.  No  sanitary  inspections  were  made  during  the  year. 

8.  No  unhealthy  localities  in  this  town  are  known. 

9.  Whenever  complaint  of  public  nuisances,  etc.,  are  made  to  me,  all 
such  are  reported  to  the  town  council. 

10.  There  has  been,  to  my  knowledge,  no  contamination  of  the  water, 
milk,  or  ice  supplies  of  this  town. 

11.  John  Smith  and  S.  N.  Avery,  of  Hope  Valley,  H.  G.  Kenyon,  of  Hop- 
kinton  City,  and  Charles  W.  Clarke,  of  Ashaway,  are  the  ice  dealers  of 
this  town. 


LS99.J  SECKKTAilY's    RKI'OIiT.  91 

1.     Xakkaoaxskxt.— Xo  report  from  the  liealtli  oflieei-. 

1.  North  Kingstown. 

2.  Harold  IMetcalf,  M.  I).,  health  officer. 

;^.  (Irippe  was  prevalent  durhig  January  and  February,  there  being  a 
very  large  number  of  cases  with  a  few  deaths,  chiedy  old  people.  Tliere 
were  also  about  twenty  or  thirty  cases  of  whooping-cough  during  Novem- 
ber and  December.    None  of  these  latter  cases  were  fatal. 

4.  No  isolation  was  maintained  in  the  grippe  cases  ;  some  was  main- 
tained in  the  whooping-cougli  cases. 

5.  One  case  of  scarlet  fever  was  quarantined  promptly.  There  was  no 
otiier  occasion  for  quarantine  during  the  year. 

G.  Inspections  of  premises  were  made  wjiere  demanded.  In  one  case 
wliere  tjq^hoid  existed  the  origin  could  not  be  found. 

7.  Several  sanitary  inspections  of  various  premises  hi  different  localities 
were  made  at  my  own  option. 

8.  No  unhealthy  localities  in  tliis  town  are  known. 

9.  All  public  nuisances,  unsanitary  premises,  etc.,  are  reported  to  the 
town  coiuicil. 

10.  There  has  been,  to  my  knowledge,  no  contamination  of  the  water, 
milk,  or  ice  supplies  of  this  town. 

11.  Rose  &  Artist,  of  Saunderstown,  and  James  Brayman,  George 
Orpin,  and  Charles  McGetrick, of  Wickford,  are  the  ice  dealers  of  this  town. 

1.    Richmond.— No  report  from  the  health  officer. 

1.  South  Kingstown. 

2.  John  P.  Case,  healtli  officer, 

3.  There  were  no  epidemics  in  tliis  town  during  the  year,  although  there 
were  a  great  many  cases  of  whooping-cougli  during  the  fall. 

4.  \^ery  little  isolation  was  maintained. 

5.  None  of  the  sick  were  isolated. 

6.  Inspections  of  premises  where  sickness  prevailed  were  made,  and 
conditions  found  generally  fair. 

7.  Sanitary  inspections  of  nuisances  in  the  form  of  cess-pools  were 
iiKule.  and  said  nuisances  were  subsequently  abated. 

8.  No  uiihcalthv  loealilies  in  this  town  are  known. 


92  STATE   BOARD    OF   HEALTH.  [1899. 

9.  All  public  nuisances,  unsanitary  premises,  etc.,  are  reported  to  the 
town  council,  except  in  special  cases. 

10.  There  has  been,  to  my  knowledge,  no  contamination  of  the  water, 
milk,  or  ice  supplies  of  this  town. 

11.  George  T.  Friday  and  N.  G.  Armstrong  are  the  ice  dealers  of  this 
town. 

1.  Westerly. 

2.  E.  Howard  Clark,  health  officer. 

8.    There  were  no  epidemics  in  this  town  during  the  year. 

I.  ISTo  sanitary  inspections  were  made  during  the  year. 

8.  No  unhealthy  localities  in  this  town  are  known. 

9.  All  public  nuisances  and  unsanitary  premises  are  reported  to  the 
town  council,  but  not  buildings  unsafe  in  case  of  fire. 

10.  There  has  been,  to  my  knowledge,  no  contamination  of  the  water, 
milk,  or  ice  supplies  of  this  town. 

II.  L.  D.  Eichmond  is  the  ice  dealer  of  this  town. 


WATER  SUPPLIES. 


WATER  SUPPLIES. 


Ill  July,  1894,  the  board  commencecl  a  systematic  monthly 
chemical  and  bacterioloo-ical  examination*  of  the  waters  of  the 
Pawtuxet  river.  This  river  supplies  the  g-reatest  number  of  pop- 
ulation of  the  State,  the  population  of  the  city  of  Providence  l)eing- 
14:5,4:72  as  determined  by  the  State  census  of  1895. 

The  advantage  of  periodical  examinations  has  a  value  in  com- 
parison of  the  results  from  month  to  month,  and  from  j^ear  to 
year,  and  thereby  a  determination  as  to  the  possibility  of  contami- 
nation may  be  made.  An  individual  examination  made  at  any  one 
time  would  alone  be  of  little  value,  for  if  the  sample  taken  showed 
a  purity  compared  with  samples  from  other  rivers  it  would  lead  to 
a  conclusion  which  would  be  misleading-,  since  during-  all  the  rest 
of  the  year  the  supply  mig-ht  be  poor  in  quality.  Likewise  an  in- 
dividual sample  mig-ht  be  taken  during-  peculiar  and  unusual  con- 
ditions of  the  source  of  supply,  whereby  a  Avater  of  a  ver\'  poor 
quality  would  be  obtained  and  on  analysis  might  be  condemned 
as  a  continuous  supply  for  drinking-  purposes,  j-et  it  mig-ht  be  the 
case  that  eleven  other  samples  taken  at  periodical  intervals  would 
show  an  averag-e  quality  which  would  be  up  to  the  standard. 

Another  advantage  of  the  periodical  examination  is  the  possi- 
bility of  determining  the  opportunities  for  an  outbreak  of  disease 
before  the  epidemic  may  occur,  and  to  study  the  relation  of  epi- 
demics to  the  sujiply  ;  and  after  years  of  records  it  Avould  be  possi- 
ble to  obtain  information  which  would  give  practical  deductions. 

Owing-  to  the  limited  amount  of  appropriations  received  from 
the  legislature,  this  Avork  has  been  limited  to  the  one  supply  re- 
ferred to;  and  it  is  to  be  hoped  that  in  future  j'ears  a  sufficient 


96  STATE    BOARD    OF    HEALTH.  [1899. 

amount  may  be  appropriated  to  enable  the  board  to  keep  in- 
formed of  the  condition  of  the  various  supplies,  some  of  which  are 
controlled  entirely  by  private  corporations  where  care  is  some- 
times diverted  to  the  quantity  rather  than  the  quality. 

The  collections  of  the  samples  were  not  made  on  any  particular 
date,  but  were  collected  usually  on  the  Thursday  coming-  nearest 
to  the  fifteenth  of  the  month.  This  was  done  upon  the  suggestion 
given  by  the  engineer's  department  of  the  State  Board  of  Health 
of  Massachusetts. 

It  was  considered  that  a  sample  taken  from  the  river  on  a  par- 
ticular date,  as,  for  instance,  the  first  or  fifteenth  of  the  month, 
would  not  give  a  fair  average  of  the  quality  of  the  water,  inasmuch 
as  those  dates  might  fall  upon  a  Monday,  in  which  case,  the  mills 
having  been  shut  down  since  Saturday  night,  thirty-six  hours 
would  have  passed,  during  which  time  the  river  was  not  being- 
used  at  its  maximum,  and  the  maximum  contamination  would  not 
be  present.  Likewise  if  the  sample  was  collected  on  a  Saturday, 
it  would  give  the  result  of  a  whole  week's  contamination.  Being 
taken  on  a  Thursday  would  give  a  sample  which  would  have  a 
better  average. 

The  locations  from  which  the  samples  were  taken  from  the 
Pawtuxet  river  were  as  follows :  one  from  the  north  branch  of 
the  river  at  the  village  of  Hope,  at  a  point  where  the  water  enters 
the  mill  in  the  trench.  The  second  sample  was  taken  at  Washing- 
ton, on  the  southwest  branch,  at  a  point  located  above  the  mill 
and  where  the  supply  of  the  mill  is  taken  in.  The  third  sample 
was  collected  on  the  same  day  as  the  other  two  and  some  hours 
later,  at  the  intake  of  the  Pettaconsett  pumping  station  and  at  the 
same  point  where  the  samples  are  collected  by  the  city  of  Provi- 
dence for  their  analyses. 

The  north  branch  from  Hope  to  where  the  river  meets  the 
southwest  branch  at  River  Point  flows  a  distance  of  about  three 
and  one- quarter  miles  and  has  a  drainage  area,  as  given  by  Mr. 
Weston,  of  the  city  engineer's  department,  of  Providence,  of  about 
107.79  square  miles.     The  distance  from  Washington  on  the  south- 


1899.]  secretaky's  kki-okt.  97 

west  In-aiicli  to  the  poiut  where  it  joins  tlie  nortli  brancli  is  ahont 
six  miles  aud  has  a  (lraiiia<»-e  area  of  about  G7.79  square  rllih^s. 
From  River  Point  to  the  intake  at  the  Pettaconsett  pumping-  sta- 
tion, where  the  third  sample  was  taken,  is  about  five  miles  and  has 
a  drainage  area  of  al)out  10.42  square  miles.  The  total  area  of  the 
whole  water-shed  above  the  pumping-  station  is  195  square  miles. 

Along-  this  stream,  at  frequent  intervals  below  the  points  where 
the  first  two  samples  were  collected,  there  are  numerous  cotton  and 
woolen  mills  from  which,  and  from  the  toAvus  which  are  made  up 
of  the  population  which  supplies  these  mills  with  labor,  produce 
a  certain  amount  of  refuse  matter  which  finds  its  way  into  the 
river.  In  addition  to  this,  the  distance  of  the  points  where  the 
different  samples  are  taken  would  go  to  show  that  the  sedimen- 
tation, which  occurs  at  the  various  dams  where  the  water  is  held 
back  at  these  various  mills,  is  not  sufficient  to  reduce  the  amount 
of  accumulated  contamination  to  any  appreciable  extent. 

The  reports  of  the  examinations  of  the  water  taken  at  these 
points  are  given  lielow.  The  results  are  shown  in  parts  in  100,000 
as  is  customary  in  the  reports  made  by  the  Massachusetts  State 
Board  of  Health. 

The  first  arrangement  is  made  collectively  by  dates,  giving  the 
results  of  the  examination  of  the  samples  taken  at  the  different 
sources  on  the  same  day,  which  admits  of  comparison  of  the 
changes  in  the  water  from  one  poiut  to  the  other. 

The  next  arrangement  is  made  collectively  by  dates  at  one  point 
only  and  Avill  give  the  differences  which  occur  from  month  to 
month  diiring  the  different  seasons.  This  is  followed  by  the  ar- 
rangement of  average  by  years  of  each  place. 

The  chemical  analyses  were  made  by  Mr.  Charles  E.  Swett, 
State  assayer ;  and  the  bacteriological  analyses  were  made  by  the 
Rhode  Island  Laboratory,  which  is  under  the  direction  of  Gard- 
ner T.  Swarts,  M.  D.,  and  Jay  Perkins,  M.  D. 


98 


state  boakd  of  health. 
Water  Supply  of  Providence. 


[1899. 


Chemical  Examinations  of  the  Pawtuxet  River  Water,  taken  at  the 
Pettaconsett  Pumping  Station,  hy  months,  on  the  first  and  fif- 
teenth of  each  month,  for  the  year  1899. 


Date. 

6 
o  <o 

u  CO 

d 
1 

p  cS 

o  d 
•S'S 

11 

« 

of 

J 
is  15 

02 
iS.S 

u 
o 
o 
O 

< 

35. 
35. 

58. 
42. 

35. 
29. 

27. 
31. 

34. 
39. 

41. 
51. 

43. 

42. 

53. 
56. 

60. 
55. 

51. 
64. 

63. 
55. 

51. 
57. 

11. 
11. 

16. 
16. 

11. 
11. 

9. 
11. 

12. 
15. 

18. 
15. 

18. 

17. 

21. 
23. 

23. 

18. 

19. 

28. 

26. 
22. 

19. 
22. 

24. 
24. 

42. 
26. 

24. 

18. 

18. 
20. 

22. 

24. 

23. 
36. 

25. 

25. 

32. 
33. 

37. 
37. 

32. 
36. 

37. 
33. 

32. 
35. 

5.32 
4.73 

4.73 
4.73 

3.62 
3.95 

3.18 
7.25 

8.56 
6.59 

9.22 
9.12 

9.55 
9.55 

10.20 
10.20 

12.18 
7.91 

8.89 
10.87 

11.88 
9.88 

9.88 
9.55 

.20 
.15 

.22 
.30 

.24 
.20 

.14 
.20 

.22 
.20 

.36 
.30 

.28 
.21 

.26 
.34 

.34 
.30 

.29 
.26 

.32 
.29 

.23 
.34 

.05 
.02 

.04 
.02 

.02 
.02 

.06 
.01 

.01 
.02 

.07 
.06 

.05 
.03 

.03 
.03 

.04 
.07 

.09 
.06 

.03 
.05 

.05 
.05 

.60 
.70 

.60 
.60 

.60 
.60 

.60 
.60 

.60 
.50 

.60 
.40 

.60 
.40 

.10 
.50 

.50 
.30 

.60 
.60 

.60 
.60 

.70 
.50 

0 
0 

0 
trace 

0 
0 

0 
0 

0 
0 

0 
trace 

0 
0 

0 
trace 

trace 
trace 

0 
0 

trace 
0 

trace 
trace 

March    1               

Anril  l^i                                

.50 

.30 
.45 

.40 
.40 

.35 
.35 

.60 
.45 

.50 
.65 

.45 
.35 

18.00 

July    1  

.20 

July  15         ....*. 

11.00 

12.00 

10.00 

11.00 

10.00 

October   2 

11.00 

10.00 

11  00 

9.25 

11.50 

9.50 

46. 

17. 

29. 

7.98 

.26 

.04 

.54 

0 

.44 

10.73 

1S!)1).  I 


SECKETAKY  8    KHI'OKT, 


90 


VVaTEU   Slil'l'l.V    OF   PUOVIDENCE. 


Chemical  Examinattoiia  of  the  Pawtuxet  Rimr  Water,  taken  at  the 
Pettacousett  Pumping  Station,  gioing  averageH,  by  years,  for 
twenty-four  yearn. 

[Parts  (ill  weij^'ht)  in  one  million  imrts  of  water  (in  weight).] 


Year. 


1876.. 
18T7.. 

1878. . 

1879.. 

1880. . 

1881.. 

1882.. 

1883.. 

1884., 

1885.. 

1886. 

1887.. 

1888. . 

1889.. 

1891).. 

1891 . . 

1892.  . 

1893.  . 
1894.. 
189.5.. 
1896.. 
1897.. 
1898.. 
1899.. 


Total 
Residue. 


50 
43 
37 
38 
45 
41 
43 
47 
45 
46 
46 
42 
41 
38 
41 
51 
48 
46 
49 
46 
44 
46 
42 
46 


62 
56 
54 
59 
70 
55 
59 
64 
72 
63 
59 
63 
59 
52 
55 
107 
71 
66 
75 
61 
57 
61 
55 
64 


107 


Mineral 
Matter. 


74 


Organic 

and 
Volatile 
Matter. 


30 

24 

24 

24 

22 

21 

25 

24 

29 

24 

25 

25 

3U 

27 

25 

33 

29 

22 

24 

27 

25 

28+ 

24 

C8 


Common 
Salt. 


5.72 
5.46 
5.47 
5.73 
6.35 
4.95 
4.43 
4.60 
4.79 
4.20 
4  14 
4.18 
3.49 
2.86 
3.63 
3.99 
5.22 
5.27 
5.72 
5.73 
5.51 
5.33 
4.87 
7.98 

4.98 


8.50 
7.09 
8.51 

10.83 
8.76 
8.07 
6.60 
7.95 
7.33 
6.74 
5.95 
6.84 
5.62 
4.99 
5.30 
6.52 
8.48 
8.89 
8.90 
8.45 
7.71 
8.60 
6.80 

12.18 


12.18 


Albuminoid 
Ammonia. 


S 


Ammonia. 


.40 
.32 
.25 
.23 
.26 
.28 
.38 
.36 
..32 
.30 
.30 
.86 
.80 
.30 
.86 
.38 
.46 
.34 
.46 
.48 
.46 
.36 
.84 
.36 


.48 


06 
.06 
.04 
.05 
.02 
.02 
.03 
.04 
.04 
.05 
.05 
.04 
.05 
.04 
.04 
.04 
.07 
.05 
.04 
.09 
.08 
.05 
.04 
.04 

.04 


.11 

.12 

.10 

.10 

.14 

.05 

.08 

.14 

.14 

.20? 

.14 

.10 

.14 

.10 

.12 

.14 

.20 

.12 

.18 

.34 

.20 

.16 

.08 

.09 


.84 


100 


STATE    BOARD    OF   HEALTH. 


[1899. 


Cheirdcal  and  Bacteriological  Examination  of  Water  from  the  Pawtaxet 
River,  at  Hope  Yillage,  collectively,  hy  Months. 


(Parts  in  100,000.) 


Date  of 
Collection. 


Jan.  12.. 
Feb.  16.. 
Mar.  16  . 
Apr.  13.. 
May  18.. 
June  15. 
July  13. 
Aug.  17 
Sept.  14 
Oct.  12. 
Nov.  16 
Dec.  14. 


Appbaeancb. 


^ 

p 

.'2 
1 

Eh 

a 

none 

none 

none 

none 

slight 

slight 

very 
slight 

very 
slight 

very 
slight 

very 
slight 

very 
slight 

very 
slight 

very 
slight 

slight 

very 
slight 

very 
slight 

very 
slight 

very 
slight 

very 
slight 

very 
slight 

very 
slight 

very 
slight 

very 
slight 

very 
slight 

.30 


.25 


.40 


.50 


Residtje 
ON  Evapo- 
ration. 


2.59 


3.26 


2.91 


3.13 


3.81 


1.3 


1.32 


1.27 


1.53 


2.21 


1.3' 


1.8 


1.64 


2.18 


1.82 


Ammonia. 


.000 


.002 


.000 


.005 


.003 


Albuminoid. 


.0180 


.016 


.030 


.026 


.022 


.020 


.014 


.018 


.020 


.026 


.018 


.016 


.0000 


.000 


.001 


.005 


.004 


.010 


.004 


.005 


.28 


.29 


.35 


.18 


.18 


Nitrogen. 


.00 


.030 


.040 


.02 


.03 


.025 


.02 


trace 


.00 


trace 


26 


630 


.81  1117 


99     92 


.90,  141 


1.01  2777 


1.9 


.67    483 


1899. 


SECRETARY  S    HHI'OKT. 


Kll 


( '/lehiic'd  and  Bacteriological  Examination  of  Water  from  the  Pawtuxet 
River  at  WanhuHjton  Village,  collectively,  ly  MontliH. 


(Parts  in  100,000.) 


Date  op 
Collection, 


.Tiin.  12 

Feb.  10 

Mar.  16.... 

Apr.  13 

May  18 

June  15 

•July  13  .... 
Autr.  IT.... 
Sept.  14.... 

Oct.  M 

Nov.  IG.... 
Deo.  14 


Appearance. 


3 

c 

s 

03 

none 

none 

none 

none 

slight 

slight 

very 
sliglit 

very 
slight 

very 
slight 

very 
slight 

very 
slight 

slight 

very 

slight 

slight 

very 
slight 

very 
slight 

very 
slight 

very 
slight 

slight 

slight 

very 
slight 

very 
slight 

very 
slight 

very 
slight 

.20 


.70 


.45 


Residue 

ON    EVAI'O- 
ItATION. 


d 

o 

a 

61) 

a 

o 

as 

rti 

O 

H 

1-4 

l.t 

1.3 

2.8 

1.25 

2.86    .56  2.30 


2.55  1.01 


J. 70  1.03 


3.10  1.61 


3.95  2.03 


3.16  1.44 


4.69  2.10 


3.43 


1.61 


1.92 


1.72 


1.94 


.003 


.003 


.004 


.005 


.008 


8.59    .004 


.004 


AiM.MONIA. 


Albuiiiiiidiil. 


H 
o 
Eh 

a 
.2 

3 

o 
c 

.0175 

.0175 

.010 

.010 

.012 

.012 

.018 

.018 

.022 

.011 

.025 

.023 

.028 

.019 

.025 

.025 

.024 

.024 

.026 

.023 

.032 

.022 

.019 

.019 

.000 


.000 


.011 


.002 


.009 


.003 


.010 


NlTUOGEN. 


.9      .004 


4      .000 


.23 


.28 


.44 


.37 


.36 


.22 


.80 


.040 


.020 


.025 


.04 


.04 


.OS 


.0001 


.00 


1.0 


.81 


.77 


1.05 


128 


1085 


472 


95 


1.00    190 


trace     .99  544 


802 


.90 


52 


1.12  2858 


2.1     506 


1.01 


84 


102 


STATE    BOARD    OF    HEALTH. 


[1899. 


Chemical  and  Bacteriological  Examination  of  Water  from  the  Pawtuxet 
River,  at  Pettaconsett  Parnjmig  Station,  collectively,  hy  Months. 


(Parts  in  100,000.) 


Date  of 
Collection. 


Jan.  12.. 
Feb.  16.. 
Mar.  16  . 
Apr.  13. 
May  18.. 
June  15 
July  13. 
Aug.  17 
Sept.  14 
Oct.  13. 
,Nov.  16 
Dec.  14. 


Appearance. 


distinct 


very 
slight 


very 
slight 


very 
slight 


very 
slight 


very 
slight 


very 
slight 


slight 


very 
slight 


very 
slight 


slight 
floe. 


slight 


very 

slight 


slight 
slight 
slight 


very 
slight 


very 
slight 


slight 
slight 
slight 


.25     3.7 


Residue 
ON  Evapo- 
ration. 


.25 


.25 


.50 


.45 


.50 


2.16 


3.37 


1.6 


.76 


1.9 


1.26  2.81 


1.95 


1.05 


3.09 


6.55  2.70  3.85 


5.62  1.73  3. 


6.46 


6.02 


2.60  3. 


2.26 


3.65 


1.03 


.001 


.001 


.002 


.006 


.004 


.003 


.005 


.003 


Albuminoid. 


.025 


.028 


.034 


.025 


.030 


.028 


.030 


.025 


.014 


.018 


.011 


.026 


.015 


.020 


.020 


.001 


.018 


.013 


.008 


.010 


.010 


.008 


.85 


.28 


.39 


.59 


.58 


.29 


Nitrogen. 


trace 


.050 


.04 


.00 


trace 


.040   trace 


.015 


.05 


.04 


trace 


1.4 


1.10 


1.55 


1.83 


1.32 


418 


1654 


1294 


1022 


1.90  4588 


2.02 


1.90 


6510 


844 


1809.] 


skcrhitary's   HKPOUT. 


103 


Chemical  and  Bacteriological  Examination  of  Water  fr 01  n  the  Pavjtuxet 
River,  collectively,  hy  datcx,  at  <Hff<;reni  j>oiiif.s,  I  situ. 


(Parts  ill  100,000.) 


KKsinuE 

• 

ArPKAKANCE. 

ON    EVAPO- 
UATION. 

Ammonia. 

Nitrogen. 

AlbumiiK 

.id. 

I'l-APK    OF 

a 

c 

d 

I'OI.LECTION. 

d 

d 

t. 

4^ 

C 

S 

0 
0 

"3 
0 

c 
0 
(» 
0 

6 
v 

2 
0 

1 

c 

CO 

c 

a 
a 

0) 

'E 

0 
S 

1 
en 

a 

•s 

C0 

3) 
* 

0 
cs 

C» 

0 

H 

l-l 

P>=< 

^ 

Eh 

0 

<! 

< 

a 

pa 

JANUARY. 


Hope 

Washington  . , 
Pettaconsett , 


3.0  1..3 


.0015  .0180  .0180  .0000 
.0015  .0175  .0175' 


.001 


.025      .025    


.004 
.004 
.006 


1.1  26 
1.0         128 

1.2  314 


FEBRUARY. 


Hope 

none 

.2 

2.8    1.0 

1.8 

.000 

.010 

.010 

.000 

.4 

.000 

trace 

1.8 

6.<i0 

Washington 

none 

.25 

2.8    1.25 

1.55 

.001 

.010 

.010 

.000 

.4 

.000 

.0001 

1.8 

1086 

Pettaconsett 

slight 
floe. 

.25 

3.7    1.6 

2.1 

.001 

.015 

.014 

.001 

.5 

trace 

.0' 

1.4 

1494 

MAKCil. 


Hope slJKlit  I       .80 

I 
Washington slight  ;       .25 


Pettaconsett slight 


.25 


1.66 
2.86 
2.16 


.16  1.50  .002 
.56  2.80,  .004 
.76  1.40    .002 


.014 
.012 


.014  I  .000 

.012  I  .000 

I 

.010  .018 


2.. 

.05 

.00 

.81 

23 

.06 

.00 

.81 

28 

,00 

.00 

1.19 

1117 
478 
418 


104 


STATE    BOARD    OF    HEALTH. 


[1899. 


Chemical  and  Bacteriological  Examination  of  Water  from  the  Pawtuxet 
River,  collectively,  hy  dates,  at  different  points,  1899. — Continued. 


(Parts  in  100.000.) 


• 

Eesidue 

Appearance. 

ON  Evapo- 
ration. 

Ammonia. 

Nitrogen. 

Place  op 

Albuminoid. 

Collection. 

o 

6 

M 

0 

.2 

0) 

OS 

CO 

m 

S 

u 
O 

"3 

a 
o 

•6 

a> 

"5 

3 

a 

a 
o 

4-3 

S 

C 

\< 

o 

o 

o 

0 

_ 

a 

^ 

GO 

cn 

M 

o 

H 

1-1 

E 

fe 

Eh 

'-' 

o 

<l 

< 

W 

PQ 

APRIL. 


Hope 

Washington . 
Pettaconsett 

Hope 

Washington  . 
Pettaconsett 

Hope 

Washington . 
Pettaconsett 


very 
slight 

.25 

2.59 

.79  1.80 

.000 

.016 

.015 

.001 

.28 

.030 

.0 

.88 

very 
slight 

.30 

2.55 

101  1.54 

.003 

.018 

.018 

.000 

.31 

.040 

.0 

.77 

very 
slight 

.25 

3.47 

1.36  S. 11 

.005 

.022 

.018 

.004 

.36 

.050 

trace 

1.10 

MAY. 


very 
slight 

.30 

3.26 

1.32 

1.94 

.003 

.017 

.012 

.005 

.29 

.040 

.0 

1.17 

very 
slight 

.50 

2.70 

1.03 

1.67 

.003 

.022 

.011 

.011 

.28 

.020- 

.0 

1.05 

slight 

.60 

4.07 

1.96 

3.81 

.003 

.026 

.011 

.013 

.39 

.040 

trace 

1.55 

140 

95 

1654 


JUNE. 


very 
slight 

.40 

2.91 

1.27 

1.64 

.003 

.022 

.018 

.004 

.35 

.02 

trace 

.90 

slight 

.45 

2.39 

1.41 

.98 

.004 

.025 

.023 

.002 

.44 

.01 

trace 

1.00 

slight 

.50 

5.04 

1.95 

3.09 

.006 

.034 

.026 

.008 

.50 

.03 

trace 

1.83 

1899.] 


secretary's    RKl'ORT. 


106 


Chemical  and  Bacteriological  Examination  of  Water/ rtwi  the  Paiotv^et 
Rioer,  collectively,  l>i/  dates,  at  different  points,  189'.). — (.'ontinued. 


(Parts  in  100,000.) 


Residue 

Appearance. 

ON  Evapo- 
ration. 

Ammonia. 

NiTROOKN. 

Place  of 

Albuminoid. 

Collection. 

B 

d 

c 

s 

o 

O 

'S 

s 

« 

4) 

a 
B 

o 

"5 

B 
O 

09 

■d 

<a 

73 

3 
O 

CO 

a 

.9 
3 

s) 

2 

a 

r. 

a 

d 

a 

00 

oa 

at 

CO 

o 

H 

hJ 

tx. 

fe 

Eh 

O 

< 

< 

» 

CQ 

JULY. 


Hope 

Washington  . 
Pettaconsett 


slight 
slight 
slight 


.45     3.13  1.53  1.60 

I     ! 

.45     8.10  1.611.49 
.45    i3. 37  1.0512.32 


.005 
.004 
.004 


.030  .0^0 

I 

.028  I  .019 

.025  .015 


.010  .18  .03 
.009  .40  .03 
.010  i   .44[    .04 


trace 

.99 

trace 

.77 

trace 

1.32 

284 
544 
1294 


AUGUST. 


Hope 

Washington . 
Pettaconsett 


very 
sligrit 

very 
slight 

very 
slight 


.55      4.39  2.21  2.18    .004      .026 


.50     3.95  2.03  1.92 


.85     6.55  2.70  8.85 


.003      .025 


.026 
.025 


.003      .080      .030 


.38 

.025 

.37 

.015 

.59 

.040 

0 

0 

trace 


.99        98 
.88       802 

loas 


SEPTEMBER. 


Hope 

Washington . . . 


very 
slight 

.35 

2.99 

1.17 

1.82 

.005 

.022 

.018 

.004 

.80 

.025 

.0 

.90 

very 
slight 

.35 

8.16 

1.44 

1.78 

.005 

.084 

.024 

.0 

.36 

.025 

.0 

.90 

very 
slight 

.35 

5.62 

1.73 

8.89 

.006 

.080 

.030 

.010 

.68 

.015 

.0 

I.IO 

141 

52 

4668 


14 


106 


STATE    BOAKD    OF   HEALTH. 


[1899. 


Chemical  and  Bacteriological  Examination  of  Water  from  the  Pawtuxet 
River,  collectively,  hy  dates,  at  different  points,  1899. — Concluded. 


(Parts  in  100,000.) 


Residue 

Appeakance. 

ON  Evapo- 
ration. 

Ammonia. 

Nitrogen. 

Place  or 

Albuminoid. 

a 

Collection. 

d 
o 

o 

W) 

.2 

to 
0) 

S 

o 

"cS 

o 

'6 

6 

"cS 

3 

o 

p 

.9 
o 

g 

g 

d 

t4 
0) 

s 

o 

O 

o 

t, 

o 

fl 

.a 

CO 

03 

CB 

o 

H 

h-i 

t^ 

^ 

ir* 

'-' 

o 

< 

<: 

W 

pq 

OCTOBER. 


Hope 

Washington . 
Pettaconsett 

Hope    

Washington . 
Pettaconsett 

Hope 

Washington . 
Pettaconsett 


very 
slight 

.45 

3.65 

1.75 

1.90 

.005 

.022 

.018 

.004 

.21 

.03 

.0 

1.01 

slight 

.65 

4.10 

3.16 

1.94 

.008 

.026 

.033 

.003 

.22 

.04 

.0 

1.12 

slight 

.45 

6.46 

3.60 

3.86 

.005 

.028 

.024 

.004 

.29 

.05 

trace 

2.03 

■  2777 
2858 
6510 


NOVEMBER. 


very 
slight 

.50 

3.81 

1.37 

2.44 

.003 

.022 

.017 

.005 

.19 

.04 

.0 

1.9 

very 
slight 

.70 

4.69 

2.10 

2.59 

.004 

.032 

.022 

.010 

.21 

.04 

.0 

2.1 

slight 

.50 

5.91 

3.26 

3.65 

.003 

.030 

.020 

.010 

'31 

.06 

trace 

3.1 

387 
506 
844 


DECEMBER. 


very 
slight 

.40 

3.41 

1.38 

2.03 

.003 

.020 

.016 

.004 

.18 

.04 

.0 

.67 

very 
slight 

.45 

3.43 

1.61 

1.82 

.004 

.019 

.019 

.0 

.20 

.02 

.0 

1.01 

slight 

.40 

6.02 

1.99 

4.03 

.003 

.030 

.022 

.008 

.29 

.04 

trace 

1.90 

483 


5801 


1899.] 


secretary'.s  report. 
Water  Supply  of  Providence. 


107 


Chemical  and  Bacteriological  Examination  of  Water  frora  the  Pawtxixd, 
River,  hy  place,  giving  averages  hy  years. 


(Parts  per  100,000.) 


Year. 


Residue 
ON  Evaporation. 


Ammonia. 


Albuminoid. 


Nitrogen. 

« 

OB 

a> 

s 

t4 

o 

!a 

55 

•a 

J3 

a 

OD 

d 

o 

-sj 

< 

» 

HOPE. 


1894.*. 
1895. . . 
1896... 
1897. . . 
1898.. 
1899. . . 


5.2 
4.7 
4.4 
3.5 
3.0 


1.2 
1.9 
2.7 
2.2 
1.6 


3.9 
2.7 
2.0 
1.4 
1.9 


3.13  1.27  l.f 


.0014 
.0019 
.0021 
.0015 
.0012 
.0029 


.0012  .0118 

.0178^  .015 

1 

.01771  .016 


.015 
.014 


.0145 
.0115 


.0005 
.0008 
.0008 
.0002 
.0007 
.003 


.8 
.8 
.5 
.4 
.4 
.32 


.008 


.006 
.006 
.000 


.026,  .0 


1.19 
.8 
SI 
3 
51 
05 


568 
698 
3830 
329 
616 
502 


WASHINGTON. 


1894.' 
1895.. 
1896.. 
189T  . 
1898.. 
1699.. 


4.6 

1.5 

3.2 

.0007 

.0131 

.0129 

.0003 

.78 

4.04 

1.9 

2.14 

.0012 

.0164 

.0145 

.0007 

.58 

4.0 

2.0 

2.0 

.0111 

.014 

.0136 

.0007 

.5 

4.1 

2.6 

1.6 

.0015 

.014 

.016 

.0009 

.43  ; 

3.8 

1.9 

2.0 

.0014 

.013 

.011 

.001 

•4  1 

3.20 

1.46 

1.74 

.0037 

.0215 

.0213 

.003 

.38, 

.02 

.007 

.012' 

.002 

.000 

.025 


1.24 


8970 
.89  560 
.325:  7678 
.29   12i'4 


.000   .52 
.0  I  1.08 


615 
590 


1894* 
1895. 
1896. 
1897. 
1898. 
1899. 


PETTACONSETT. 


5.7 

1.6 

4.2 

.0015 

.0199 

.0192 

5.3 

1.9 

3.0 

.0023 

.0081 

.0174 

5.6 

2.7 

3.1 

.0043 

.0197 

.0166 

5.3 

2.9 

2.4 

.0042 

.018 

.Oie.'i 

4.6 

2.0 

•J.  5 

.0057 

.0168 

.0143 

4.75 

1.74 

2.92 

.004 

.087 

.020 

0006 

.67 

.0033 

.66 

.0029 

.57 

.0018 

.52 

.0013 

.50 

.007 

.45 

.02  I 

.006' 

I 

.013 

.023 

.011, 

.036 


.001'  1.56  9021 

....|  .57  '    8900 

....I  .53  11479 

i 

....i  .6  6564 

.001  .76  1547 


1.70       1968 


*  Average  of  the  last  six  months  of  the  year  only. 


METEOROLOGY. 


It  lias  been  remarked  in  previous  reports  of  tlie  Board  that  the 
influence  of  the  meteorological  conditions  of  the  atmosphere,  as 
well  as  the  floating  matter  suspended  therein,  are  recognized  and 
acknowledged  by  all  pathologists  as  causes  of  disease ;  and  the 
following  tables  are  therefore  introduced,  as  heretofore,  for  the 
purpose  of  comparing  the  large  prevalence  of  certain  diseases,  at 
different  monthly  periods  of  the  year,  with  the  temperature,  the 
atmospheric  pressure,  the  relative  humidity,  prevailing  direction 
and  force  of  the  wind,  and  other  conditions  of  the  atmosphere, 
and  also  the  amount  of  cloud  and  rain-fall  during  each  month  of 
the  year.  All  of  the  said  diseases  and  monthly  prevalence  of  the 
same  may  be  found  in  the  report  upon  the  registration  of  deaths 
arranged  by  months,  in  Table  VII  of  the  Registration  Heport. 

The  first  table  is  compiled  from  the  monthly  reports  of  the  city 
engineer  of  Providence,  and  shows  the  mean,  maximum,  and  mini- 
mum temperature  of  the  different  months,  and  the  extremes  and 
average  daily  range  of  the  same  ;  the  rain-fall,  and  prevailing  di- 
rection of  the  wind. 

The  second  table  will  give  a  more  comprehensive  monthly  sum- 
mary of  observations  during  1899,  including  a  large  number  of 
atmospheric  conditions  for  each  month,  and  also  yearly  summaries 
for  each  of  the  nineteen  preceding  years.' 

It  is  condensed  from  the  annual  summary  of  monthly  observa- 
tions at  Hope  reservoir  and  the  city  hall,  in  Providence. 


1899. 


SKCKETAIiY's    KKl'OHT. 


100 


Table  I. 

Temperature,   Range  of  Temper  at  are,   Rain-fall,  and  I^eoailing 

Direction  of  the    Wind  for  each  Month  during 

the  year  1899. 


t 

"S 

Temperatuue. 

"3 

g 

o  «; 

a> 

cS 

to 

u> 

"■^ 

a 

a 

ca 

KC 

Prevaii.ino  Direction 

Months.  1899. 

» 

K 

"c  ^ 

s 

& 

>. 

^ 

>, 

OF  THE  Wind. 

D 

5 

>. 

s! 

3  5 

n 
o 

a 

s 
S 

a 

3 

a 

'S 

a 
o 

1 

(55 

ID 

'5 

a 
1 

c  a 
< 

o 

S 

S 

s 

S 

o 

i-J 

< 

c^ 

January 

30.2 
26.3 
34.9 

53.5 
52.0 
59.5 

-2.0 

-2.5 

17.5 

.55.5 
54.3 
42.0 

32.0 
25.5 
21.5 

6.5 
4.0 
3.5 

17.0 
12.3 
13.2 

5.18 
6.00 
8.88 

N.W. 

N.W.,  Variable. 

March 

N.W. 

April 

48.5 
58.9 

.79.0 
88.5 

28.5 
41.0 

50.5 
47.5 

31.0 
28.5 

7.0 
7.5 

19.1 
20.0 

2.12 
2.60 

N.,  S.,  N.W. 

May 

S. 

72.2 
73.4 
70.6 

94.5 
94.5 
91.0 

.55.0 
.54.5 
54.5 

39.5 
40.0 
36.5 

35.0 
29.0 
30.0 

7.5 
6.5 
4.0 

20.5 
18.9 
18.7 

3.62 
4.69 
1.56 

\'ariable. 

July 

S.W. 

Au(,'u.st 

Variable. 

September 

62  9 

82.5 

43  5 

39.0 

27  0 

7  0 

16  9 

9.16 

N.,  S..  S.W. 

54.5 
42.3 

75.0 
65.0 

32.5 
25.0 

42.5 
40.0 

29.0 
22.5 

4.5 
6.5 

14.1 
13.4 

l.CiS 
2.37 

Variable. 

November 

N.W. 

December 

36.0 

61.0 

7.0 

54.0 

28.0 

4.5 

18.3 

1.88 

N.W. 

For  the  year 

.')0.9 

74.7 

82.8 

44.3 

49.24 

N.W. 

110 


STATE    BOARD    OF    HEALTH. 


[1899. 


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1899.] 


SECRET .VRY'S    REPORT. 


11 


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■IsaAiqinos 

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113 


STATE    BOARD    OF    HEALTH. 


[1899. 


R 

MO 

•saqoui  ni 
ug  JO  qjdaa 

S8110UI  ni 
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K 

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■< 

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JO  5nnorav  u'Bapi 

■sjamo  nv 

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1899.] 


KEORET.VIiY'S    RKI'OKT. 


113 


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E-    E-  ^ 


114 


STATE    BOARD    OF   HEALTH. 


[1899. 


■13 
05 

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Mons  JO  qidad 

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MOUS   P31I9M   JO 

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1899.] 


SEORETAKY's    KEl'UKT 


Hi 


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Ch     c^ 


116 


STATE    BOARD    OF   HEALTH. 


[1899. 


CO 


pi 
I— I 
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fl 
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O 


EH 


<•» 


P5 


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A\ons  JO  mdaa 


saqoui  ni 
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nrea  JO  ^unorov 


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dAixyiaH 


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•u-eaK 


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■uininiuiM 


■ninniix'BK 


■saBai^ 


:    ^      : 
:    ^      : 

irj          ;          ; 

•       00          • 
.       at          • 

:    i      : 

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in        .        - 

:    S      : 

:    S     : 

:    S      : 

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10          ; 

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(-.       .       . 

44.5 
100. 

:     :     1 

05 

1.08   49.6 
1.83  ...   . 

8      :      -• 

~    ;    : 

Means  for  year . . 
Totals  for  year.. 
Extremes 

p-  s 


®  -s  -^ 


1899.] 


SECKETAKY's    KKPnliT. 


117 


«•  O  D 

M  S  fc 


.?;    S5 


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ao  AVOUS  SABQ  I 

JO  jaqtuuK  | 


CO     »o     »o     in     »rt 


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A\ous  paJl-'I^ 


—    —    t- 

O       00       « 


CO        ^        50 


o»      —      I-      oo      o      o 

•^       lO       so       O       »0       iO 


XjipicunH  uisaK 


t-    I-    1-    i- 


t-    c-    t- 


■aSuBa  UBaw 


•mntU!aii\[ 


^  1-1  in 


00   CO   00 

■^   «   ?D 


lO   Ol   If3 


I     I     I 


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05   -H 

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in  00  00 


ci     a     a     a     Oi     Oi 


in  o  00  o  c^  ^ 


03   O   03   C3   C^   OS   C3 


C!   00   00 


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in  in  in  in 


— •   O   —   00   05   00 


o5t-.oo«^'-'oo'*c»— •5ocoin2'*S2     9BSE; 

■J9iain0.lBfr    l0D<O050050t-00050pe»OC--»»0S05<100»C» 

10-l*A^\rT        QOQOooooxjxjoooooocsooooooooaoaogowoo 


«  = 


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to 

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00   OC   00 


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£  S  5  5 


118 


STATE    BOARD    OF    HEALTH. 


[1899. 


5..       ^; 


WIND. 

•uoijosJlP  SajireAajj 

00 

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g  s 

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s 

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1899.] 


SFXRET.VRY'S    KKI'UfiT. 


l\U 


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«  to  » 
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<  r.  5  '^.'  =. 


130 


STATE    BOARD    OF   HEALTH. 


[1899. 


1 

•UOH08JIP  SaniBAajj 

•sA'ep  jSpnop  J8qratijs[ 

Ai^jBd  aeqianjij 

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PRECIPITATION 

(IN   inches). 

•s^Bp  jSuibj  jaqninjst 

•(paiiani 
-nn)  we}  mous  ib;OiL 

•sjnoq  \pr,  m  ^sa}B9.io 

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TEMPERATURE 

(in   degrees  FAHRENHEIT). 

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•ajBQ 

■jsaMOT 

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1899.] 


SECRETARY'S    REPORT. 


121 


^  ^' 

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so     e» 

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40.8 
83.6 

48.2 

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s 

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eti-ir-ic<coiao)t>'q<c«otio 

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0 

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1.70 
0.85 
2.50 
1.45 
1.05 
0.57 
1.45 
3.39 
3.15 
1.03 
0.72 
0.40 



eo 

0.04 
3.25 
8.13 
2.57 
2.57 
1.50 
3.79 
4.02 
0.30 
2.23 
1.29 
1.40 

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0 

ir3O3C*t-O3C3COQ0SO'»i«'^i-i 
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29.4 
25.4 
34.8 
44.4 

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08.0 
01.4 
52.8 
41.9 
34.8 

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122 


STATE    BOARD    OF    HEALTH. 


[1899. 


WIND. 

■uonogjip  SmiiBAajj 

CO 

•sAbp  Ipnop  jaqranjsL 

•s.(lBp  iSpnoio 

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O 

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•(paiiara 
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<1     ?! 
Ph     ^ 

1 

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t-     i-H     l-H 

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+  +  +   I    I 


+  + 


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to   00 


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+  +  + 


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o     o     o      o     o 


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COWOOiCDOOCDOi 
WWCOWCOCOCOC^W 


i-tt-CO'^Cv!i-(05»nO? 


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1899.] 


secretary's  report. 


123 


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p:    ^    fe:'    ^    5= 
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^    2 


'A     z. 


BIKTHS,  DEATHS,  AND  MAEEIAGES.  1899. 


The  value  of  reliable  reports  in  their  various  bearing-s,  relating 
to  the  records  of  births,  marriages,  and  deaths,  and  the  items  of 
fact  connected  therewith,  showing  the  vital  movements  of  the 
population  from  year  to  year,  has  been  so  frequently  presented  in 
the  previous  reports  of  this  Board  as  to  need  no  repetition  at  this 
time.  It  is  gratifying,  however,  to  be  able  to  state  that,  with  no 
exception,  persons  eminent  in  social  and  political  science  every- 
where recognize  the  indispensable  information  such  reports  fur- 
nish, and  that  in  every  civilized  country  they  occupy  places  of  im- 
portance in  the  government  reports  scarcely  second  to  any  other 
department. 

The  forty-sixth  report  on  the  registry  of  vital  movements  in 
Rhode  Island  was  completed  and  issued  by  the  end  of  the  year, 
and  will  be  found  appended  to  this  report. 

The  work  of  collecting  the  data  for  the  forty-seventh  report,  the 
enumerating,  classifying,  arranging,  and  collecting  in  tables  for 
the  purpose  of  presenting  the  various  facts  in  such  detail  as  to 
facilitate  examination  and  study  has  been  in  progress  during  the 
time  of  making  up  this  report,  and  affords  some  facts  which  may 
be  presented  at  this  time. 

Below  will  be  found  some  of  the  general  results  of  the  registry 
of  births,  marriages,  and  deaths  during  1899. 


BIRTHS. 


SEX. 

Males 5,591 

Females 5,240 


PARENT   NATIVITY. 

Native* 4,3S1 

Foreign 6,510 


Whole  number  of  births 10,831 


*  Including  all  whose  fathers  were  born  in  the  United  States,  whether  the  fathers  were  of 
foreign  parentage  or  native. 


1899.]                              secretary's  rkport.  125 

marriages. 

Native  born  Groom  and  Bride l.e^S 

Foreign  born  Groom  and  Bride 972 

Native  Groom  and  Foreign  Bride 411 

Foreign  Groom  and  Native  Bride 8M 

Whole  number  of  marriages 3,433 

Native  Grooms 2,069    |   Foreign  Grooms 1,3&4 


DEATHS. 


SEX. 

Males 3,725 

Females 3,733 


NATIVITT. 

Native 5,247 

Foreign 2,211 


Whole  number  of  deaths 7,458 

There  was  one  birth  to  every  39.0  of  the  population,  or 25.6  births  in  every  1,000 

One  person  married  in  every  61.5  of  the  population,  or 16.2  persons  married  in  every  1,000 

And  one  death  in  every  56.7  of  the  population,  or 17.6  deaths  in  every  1,000 

Population  for  1899 422,620 


126 


STATE    BOAED    OF    HEALTH. 


[1899. 


CD 


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1899.] 


SECRETARY'S    REPORT. 


127 


The  following'  table  will  present  the  miml)er,  paroiitjipfe,  and 
proportion  to  total  mortality  of  deaths  from  several  of  the  most 
prominent  causes  of  death,  in  their  order  of  precedence. 


Whole  No. 

of  deaths. 

Consumption 972 

Pneumonia 686 

Heart  Diseases 648 

Kidney  Diseases 477 

Cholera  Infantum 473 

Apoplexy  and  Paralysis 457 

Cancers 292 

Accidents 276 

Brain  Diseases 267 

Bronchitis 241 

Old  Age 228 

Influenza 219 

Enteritis 212 

Typhoid  Fever 90 

All  causes 7,458 


Percentage 

Excess  of 

of  deaths 

Pareni 

tage. 

Foreign 

from  all  Causes. 

Native. 

Foreign. 

over  Native. 

13.03 

316 

656 

340 

9.20 

317 

369 

52 

8.60 

334 

314 

-20 

6  39 

215 

262 

47 

6.84 

127 

346 

219 

6.13 

280 

227 

-8 

3.91 

135 

157 

22 

3.70 

109 

167 

58 

5.58 

117 

150 

38 

3.23 

73 

168 

95 

3.07 

148 

80 

-68 

2.94 

104 

115 

11 

2.84 

76 

130 

eo 

1.21 

41 

49 

8 

3,725 


LONGEVITY   or    DECEDENTS. 


Average  age  in  years  of  Male  decedents. 
Female       " 
Total 


1899. 
34.04 
37.30 
35.67 


1898. 
34.34 
36.34 
35.31 


1897. 
33.71 
37.06 
35.37 


1896. 
30.86 
34.47 
32.61 


1895.  1894 

31.70  32.47 

36.49  34.40 

34.08  33.44 


There  has  been  a  gradual  increase  during-  the  last  thirtj^-nine 
years  in  the  average  length  of  life  of  decedents,  taking  periods  of 
five  years  each,  running  from  about  twenty-nine  and  thirty-two 
one-hundredths  years,  at  the  beginning-,  to  thirty-four  and  sixty 
one-hundredths  years  at  the  ending,  in  1899. 


PERCENTAOE   OF    MOllTAl.lTV  BY    CLASSES. 

1899.  1898.  1807. 

Zymotic  diseases 82.41  29..53  82.-.M 

Constitutional  diseases 4.57  4.56         4.27 

Local  diseases 39.73  41.05  39.63 

Developmental  diseases 18.24  18.18  18.78 

Violence,  etc 5.05  5.78  5.08 


1S06. 

1895. 

1891. 

32.34 

34  02 

2-,'.  02 

3.80 

3  98 

16  05 

38.25 

37.34 

46.18 

20.13 

19.18 

10.92 

5.48 

5.48 

4.82 

128  STATE   BOARD    OF    HEALTH.  [1899. 

The  large  increase  of  percentage  in  the  class  of  local  diseases 
previous  to  1894  was  due  to  the  increase  in  number  of  deaths  from 
pneumonia,  the  greatest  number  of  deaths  being  due  to  this  cause 
in  1893,  there  being  121  more  than  in  1892  and  208  more  than  in 
1891.  There  were  111  less  deaths  from  i3neumonia  in  1894  than 
in  1893,  20  more  deaths  from  same  cause  in  1895  than  in  1894,  in 
1896  16  less  deaths  than  in  1895,  34  less  deaths  in  1897  than  in 

1896,  93  less  deaths  in  1898  than  1897,  and  142  more  deaths  in  1899 
than  in  1898. 

RATIOS   OF  MORTALITY. 

As  compared  with  the  year  1898  there  was  little  change  in  1899 
in  the  proportional  mortality  of  several  of  the  most  important 
diseases  occuring  in  larger  or  small  numbers  every  year. 

Apoplexy  and  Paralysis. — The  deaths  from  these  diseases  were 
nearly  the  same  in  each  of  the  years  1891  (335)  and  1892  (338). 
In  1893  these  had  increased  to  407  ;  in  1894,  to  415  ;  in  1895,  to  417  ; 
in  1896  there  were  419  deaths  from  apoplexy  and  paralysis ;  in 

1897,  469 ;  in  1898,  416  ;  and  in  1899,  457. 

Bronchitis. — The  deaths  from  bronchitis  were  but  5  more  than 
in  the  previous  year.  There  has  been  a  steady  increase  in  the  pro- 
portionate mortality  from  bronchitis  during  the  last  twenty  years, 
which  must  be  attributed  to  something  more  than  increased  skill 
in  differential  diagnoses. 

Cancer. — The  deaths  from  cancer  were  292  in  1899  ;  279  in  1898  ; 
254  in  1897  ;  226  in  1896  ;  and  234  in  1895.  Cancer  has  increased 
considerably  in  its  proportion  of  mortality  to  whole  number  of 
causes  of  death,  during  the  last  twenty-five  years,  and  is  probably 
due  to  increased- facilities  in  diagnosis. 

Cholera  Infantum. — There  Avere  473  deaths  from  cholera  in- 
fantum in  1899  ;  468  deaths  in  1898  ;  425  deaths  in  1897  ;  545  deaths 
in  1896 ;  and  500  deaths  in  1895.  The  proportion  to  whole  num- 
ber of  deaths  was  6.34  per  cent.  For  the  last  33  years  it  has  been 
about  6.4  per  cent. 


1899.]  secretary's  kki'okt.  \2U 

Consumption. — There  were  823  deaths  from  cousuiuption,  or 
pulmouary  tuberculosis,  in  18;)'.).  This  does  not  include  40  from 
g-eneral  tuberculosis.  Added  to  this  there  were  71  deaths  from 
tubercular  menin^-itis,  12  from  tubercular  enteritis,  5  from  tuber- 
cular larj'ngitis,  11  from  tubercular  peritonitis,  8  from  tabes  mes- 
enterica,  and  2  from  tubercular  adenitis. 

A  decided  contrast  will  be  seen  in  the  proportion  of  the  different 
diseases,  by  observation  of  the  diagram  shown  on  pag-e  131.  Here, 
considering  the  condition  for  34  j^ears,  it  Avill  be  seen  that  con- 
sumption has  exceeded  pneumonia  nearly  one  hundred  per  cent, 
as  a  cause. 

DiARRHaii  AND  DYSENTERY. — The  mortality  from  these  diseases 
was  13  more  in  number  than  in  the  previous  year,  or  111  in  1899, 
and  98  in  1898. 

Diphtheria. — This  disease  had  a  mortality  of  86  in  1899,  which 
was  7  less  than  in  1898  ;  68  of  these  were  in  Providence  county, 
40  being  in  Providence  citj\  The  percentage  to  tlie  whole  num- 
ber of  deaths  was  1.15.     In  1898  it  was  1.35. 

Fevers,  Malarlu..— These  had  a  mortality  of  30  in  1899,  and  31 
in  1898. 

Fever,  Typhoid. — There  were  90  deaths  from  typhoid  fever  in 
1899,  and  76  in  1898.  Typhoid  fever,  as  a  disease  and  as  a  cause 
of  death,  has  gradually  lessened  in  both  proportions,  as  compared 
with  other  important  diseases,  during  the  last  15  j'^ears. 

Heart,  Diseases  of. — The  deaths  from  diseases  of  the  heart 
numbered  648,  against  549  in  1898.  Diseases  of  this  organ  have 
been  gradually  increasing  during  the  last  thirty-three  yeai's.  See 
Table  LXXYIII,  page  231,  Keg.  Kep. 

Influenza. — The  number  of  deaths  reported  as  from  this  disease 
in  1899  was  219,  an  increase  of  114  over  that  in  189S.  During  the 
year  1892  there  were  336  deaths  from  this  cause. 

17 


130  STATE    BOAKD    OF    HEALTH.  [1899. 

Kidneys,  Diseases  of. — The  number  of  deaths  from  diseases  of 
the  kidneys  in  1899  was  477 ;  the  number  in  1898  was  471.  Dis- 
eases of  these  organs  have  been  gradually  assuming  large  impor- 
tance as  causes  of  death  during  the  last  thirty-four  years.  The 
ratio  of  mortality  for  five  years,  1885-89,  was  nearly  five  times  as 
large  as  the  ratio  for  the  years  1890-95.  See  Table  LXXXI,  page 
241,  Eeg.  Kep. 

Pneumonia. — The  number  of  deaths  caused  by  pneumonia  in 
1899  was  686,  as  against  542  in  1898.  Pneumonia  has  gradually 
increased  in  importance  as  a  cause  of  death  for  the  last  fifteen 
years.     See  Keg.  Eep.,  Table  LXXXVI,  page  251. 

ScAKLET  Fever.— The  number  of  deaths  in  1899  was  29,  8  more 
than  in  1898.  The  proportion  was  0.4  per  cent,  of  the  whole  num- 
ber of  deaths.  Scarlet  fever  has  largely  decreased  in  epidemic 
prevalence  and  proportion  of  mortality  during  the  last  fifteen 
years,  as  compared  with  previous  periods  of  fifteen  years  each. 

Small-Pox. — There  were  no  deaths  from  small-pox  in  1899, 
there  were  two  in  1894,  none  in  1893,  and  four  in  1892.  The  dimi- 
nution of  cases,  and  the  decrease  of  mortality  as  a  consequence, 
has  been  quite  remarkable  during  the  last  fifteen  years.  The  effi- 
cacy of  vaccination  has  had  remarkable  endorsement. 


1899.] 


secretary's;  rkport. 


131 


-^ 


lllll 


>» 

a> 

c 

*- 

B 

■   ^ 

:    •« 

<a 

o 

J3 

>- 

Q 

3     : 

Q 

a 

03 

o      : 

1 

00 

1. 

a. 

a 

3 

I 

K 

«    -5     - 


J.     o    s 


a    5   ~    If    ?; 


132 


STATE   BOARD    OF    SEALTH. 
DIPHTHERIA  FOR  1899. 


[1899. 


Cities 
AND  Towns. 

cS 

a 

03 

i-= 

0 
0 
0 

0 
0 

3 

0 

1 

0 

0 
0 

o 
a 

0 
0 
0 

1 

0 

'u 

p. 

0 
0 
1 

0 
0 

0 
0 

0 

1 

a 
a 

0 
0 
0 

0 

1 

a 

1-5 

0 
0 

1 

0 
0 

a 
be 

a 
< 

0 
0 
1 

0 

0 

0 
0 
0 

0 
0 

i 

o 
o 
O 

0 
0 
0 

0 
0 

a 

o 

IS 

0 
0 

0 
0 

u 

<v 
.Q 

a 

o 

<0 

0 
0 

0 

73 
o 

Barrington 

0 

Bristol 

1 

^Varren  

3 

Coventry 

1 

East  Greenwich. . 
*  West  Greenwich 

2 

Warwick 

0 

0 
0 
0 

3 

0 

0 
0 
0 
0 

0 

0 
0 
0 
0 
0 
0 
0 

0 

1 

2 

1 

0 
0 
0 

1 

0 
0 

1 

0 
3 

0 

0 

0 
0 
0 

1 

0 

0 
0 

0 

0 
0 
0 
0 

0 

0 
0 
0 
0 

0 

0 
0 
0 
3 

0 

0 
0 
0 

1 

0 

0 
0 
0 
0 
0 

""b" 

0 
5 

1 

0 

0 

"6" 

0 
0 
0 
0 
0 

0 

1 

3 
0 

1 

Jamestown  

0 

Little  Compton... 

Middletown 

Newport '. 

0 
0 

8 

New  Shoreham... 

0 

Portsmouth 

Tiverton 

0 
0 

0 
0 
3 

0 
0 

0 

1 

0 
0 

0 

0 
0 
0 

0 

11 

0 
0 

0 
0 

0 
0 

0 
0 

0 
0 

0 
0 

0 
0 

0 
0 

0 

1 
1 

0 

0 
]9. 

Burrillville 

0 

Central  Falls 

Cranston 

13 
9 

Cumberland 

0 

0 

0 

0 

0 

East  Providence . 

Foster 

0 
0 

0 
0 
0 
0 
0 
0 
3 
14 
0 
0 
4 

0 
0 

0 
0 

0 
0 

0 
0 
4 
0 
3 

0 
0 
0 
0 
0 

0 
0 
0 
0 
0 
0 
0 
9 

0 
0 
3 
0 
0 
0 

1 

8 

0 
0 

1 

0 
0 
0 

2 
17 

0 
0 
0 
0 
0 
0 
3 
15 

0 
0 

1 

0 
8 
0 
3 
31 

0 

Glocester 

0 

Johnston 

9 

Lincoln 

0 
8 
0 

North  Providence 
North  Smithfield 

1 

0 
6 

0 
0 

1 

0 

0 

Pawtucket 

2 
15 

0 

0 

0 
5 

0 
0 
0 

2 

11 

22 

Providence 

15 
0 
0 
3 

■'"6" 

0 
3 

140 

Scituate 

0 
0 
6 

0 

Smithfield 

0 
2 

0 

1 

1 
6 

1 
10 

1 

10 

3 
6 

5 

Woonsocket 

Charlestown 

51 

*Exeter 

Hopkinton 

Narra°'ansett 

0 
0 
0 

0 
0 
0 

0 
0 
0 

"o" 

0 

0 
0 
0 

0 
0 

1 

0 

0 
0 

0 

1 

0 

0 

0 

1 
0 

North  Kingstown 
Richmond 

3 

0 

1 

0 

1 
0 
0 

1 

51 

31 

70 

125 

164 

58 

6 
0 

South  Kingstown 
Westerly 

0 
0 

18 

54 

103 

117 

62 

35 

0 
0 

23 

46 

47 
76 
33 
17 

0 
0 

22 

31 

67 
74 
31 
31 

0 
0 

11 

30 
59 
108 
26 
23 

0 
0 

19 

28 
61 
70 
50 
41 

0 
0 

35 

19 
48 
49 
35 
32 

0 
0 

16 

13 
38 
53 
55 

7 

0 
0 

14 

6 
59 
45 
53 
10 

0 
0 

28 

13 
77 
69 
100 
23 

0 

85 

34 
147 
121 
137 

33 

0 
6 

41 

39 
117 
114 

227 
32 

0 

7 

Total 

298 

"    1898 

343 

'•    1897 

893 

"    1896 

1031 

"    1895 

973 

"    1894 

341 

*Has  no  health  officer. 


1899.] 


SECRKTAItY  S    RHI'OUT. 
SCARLET   FEVER   FOR   1899. 


133 


Cities 
AND  Towns. 

>> 

>. 

St 

9 
P 
03 

>> 

u 

03 

a 

.s 

1 

0 
0 

0 

1 

J3 

0 
2 
0 

1 
5 

1 

< 

0 
0 
0 

0 

1 

03 

0 
0 

0 
2 

a! 

c 

0 
0 

1 

0 
0 

>. 
0 

2 
0 

0 
2 

00 

S 

u, 

s 
< 

0 
0 
0 

0 
0 

B 
a> 

O. 

n 
w 

0 
3 
5 

1 
0 

O 

0 
2 
2 

2 
0 

B 

o 

0 

1 

.S 
s 

V 

a> 
Q 

0 
4 

Barrington 

Bristol 

0 

1 

8 

1 
0 

1 

15 

Warren 

16 

Coventry 

2 

1 



2 

9 

East  Greenwich.. 
*W'^est  Greenwicli 

18 

Warwick 

0 

1 

0 

1 

0 

...„. 

0 

0 
4 
4 

3 

0 
1 
0 
5 

"o" 

3 

0 
5 
3 
3 

2 

0 
0 
0 
3 
0 
5 
1 

2 

1 
1 

3 

0 
0 
0 

1 

0 
0 

1 

2 

1 
9 

2 

0 
0 
0 
6 

1 
■"6" 

0 
3 

1 

0 
0 
0 
2 

3 

0 
0 
0 
2 

1 

0 
0 
0 
0 

3 

0 
0 
0 
3 

2 

0 
4 
0 
0 
0 
...„ 

0 

1 
4 
2 

6 
...„. 

0 

1 
0 
0 

1 

0 
5 
5 
5 

97 

Jamestown 

1 

Little  Compton... 

Middletown 

Newport 

5 

1 
96 

0 

Portsmouth 

Tiverton 

0 

0 

1 

8 

0 
3 

0 
0 

0 
3 

0 
0 

0 
2 

0 
0 

0 
2 

0 

1 

0 
4 

0 
1 
3 
4 

5 
9,1 

Burrillville 

Central  Falls 

4 
20 
87 

Cumberland 

0 

0 

0 

5 

19 

Foster 

3 
0 

0 
0 
U 
1 
0 
0 
4 
13 
1 
0 
2 

() 
0 

0 
0 

1 
0 

1 

0 
0 

1 

0 

0 
0 
0 
2 
U 

0 
0 
2 
0 
0 
0 
0 
12 

0 
0 
0 
0 
0 
1 
1 
38 

0 
0 
0 
2 
0 
2 
3 
32 

1 
0 
1 
0 
0 

12 
6 

38 

1 
0 
0 
0 
0 
3 
6 
64 

6 

Glocester  

0 

3 

Lincoln         .    ..  .1 

"6"' 

6 

NorthProvidence 
North  Smithfield 

0 
U 
3 

0 

u 

0 
0 

0 
18 

Pawtucket  .    ... 

1 

21 
0 
0 

2 
16 
0 
0 
2 

2 
11 

28 

Providence 

23 

0 

U 
■4 

...„. 

0 
2 

268 

Scituate  . 

I 

4 

4 

Smithtield 

0 
0 

0 

J! 

0 

7 

0 
5 

0 

8 

0 
9 

0 

Woonsocket 

Charlestown 

43 

*E\eter 

Hopkinton 

0 
0 
0 

0 
0 
0 

U 
0 
0 

"o" 

0 

0 
0 
0 

U 
0 
0 

0 
0 
0 

0 

0 

0 

0 

0 

0 

Narragansett 

0 

North  Kingstown 
Richmond 

0 

0 

0 

0 

0 
0 
0 
3 

115 

45 
65 
87 
91 
122 

0 

u 

South  Kingstown 
Westerly 

0 
1 

33 

66 

80 

78 

168 

133 

0 
0 

46 

57 

47 

97 

132 

95 

0 
0 

48 

47 
47 
61 
118 
91 

0 
0 

20 

40 
51 

72 

123 

70 

1 
0 

43 

58 
34 
48 
69 
71 

0 
0 

30 

48 
57 
30 
78 
53 

0 
0 

25 

15 
41 
29 
56 
33 

0 
0 

23 

25 
35 

28 
47 
33 

0 
0 

65 

26 

42 
33 
55 

58 

0 
0 

68 

79 

1  1 

46 
63 

77 

1 
0 

91 

66 
53 
92 
87 
103 

2 

4 

Total 

607 

"    1898 

579 

"    1897 

6-^9 

"    1896 

701 

"    1895 

1087 

"    1894 

989 

♦  Has  no  health  ofiBcer. 


134 


STATE    BOARD    OF   HEALTH. 


[1899. 


TYPHOID   FEVER  FOR   1899. 


Cities 
AND  Towns. 

oi 
§ 

0 

1 

0 

0 
0 

;-< 
C8 

^^ 
X2 

0 

2 
0 

0 
0 

O 

i.. 
CO 

0 
0 
0 

0 
0 

p. 
< 

0 
0 
0 

0 
0 

d 

0 
0 

0 
0 

s 

3 
•-= 

0 
0 
0 

0 

1 

1-5 

0 

1 

0 
0 

1 

4J 

3 

Sao 

0 
5 
0 

1 

2 

a 

P. 
tw 

0 

22 
2 

1 

8 

■  s 

O 

o 

0 
4 
0 

0 
1 

S3 

a 

o 

0 

1 

0 
0 

0) 

X> 

i 
o 

o 

0 
0 

0 

o 

Eh 

Barrington 

Bristol 

0 
36 

Warren 

2 

Coventry 

2 

East  Greenwich.. 

13 

Warwick 

0 

0 
0 
0 
2 

0 

0 
0 
0 
0 

.... 

0 

0 
0 
0 
0 
0 
0 
0 

0 
0 
9 

0 

0 
0 
0 

1 

0 
0 
0 

0 
0 

1 

0 

0 
0 
0 
2 

1 
""6" 

0 

1 

0 

0 
0 
0 
6 

1 

0 
0 
0 

8 

1 

0 
0 
0 
5 

1 

0 

0 

0 

14 

0 

0 
0 
0 
2 
0 
...„. 

0 
0 
0 
0 

0 

'"6" 

0 
9 
0 
0 
0 

0 
0 
0 
0 

4 

Jamestown 

Little  Compton.. 

Middletown 

Newport 

0 

0 

0 

50 

0 

Portsmouth 

Tiverton 

0 
0 

0 
0 

1 

0 
0 

0 
0 
2 

0 

0 

0 
0 
3 

1 

0 

0 
0 

0 
0 

0 

1 

0 
0 

0 

1 

0 
1 

0 
0 

0 
0 

0 
2 
0 
0 

1 
1 

Burrillville 

0 

Central  Falls 

4 
16 

0 

0 

0 

0 

0 

Foster 

0 
0 

0 
0 
0 
0 
0 
0 
0 
4 
0 
0 
0 

0 
0 

0 
0 

0 
0 

0 
0 
0 
0 
0 

"o 

5 

0 
0 

1 

0 
0 
0 
0 
0 

'"6" 

12 

0 

1 

0 
0 
0 
0 
2 
15 

0 
1 
0 
0 
0 

) 

9 

28 

0 
0 
2 
1 
0 
0 
2 
18 

1 

0 
0 
0 
0 
0 

1 

17 

0 

1 

0 
0 
0 
0 

1 

24 

1 

Glocester 

8 

9. 

1 

North  Providence 
North  Smithfleld 
Pawtucket 

0 
0 
0 

0 
0 

0 
0 

0 

'"o" 

4 
0 
0 

0 

1 

15 

Providence 

3 

0 
0 
0 

""o 

1 
1 

180 

Scituate 

0 
0 
0 

0 

Smithfleld 

0 

2 

0 
0 

0 
4 

U 
3 

0 

2 

0 
1 

1 

Woonsocket 

Charlestown 

14 

*Exeter 

Hopkinton 

Narra°"ansett 

0 
0 
0 

0 
0 
0 

1 

0 
0 

0 

0 
0 
0 

0 
0 
0 

0 
0 
0 

0 

0 

0 

0 

1 

2 

0 

North  Kingstown 
Richmond 

0 

1 

0 

1 

0 
0 
0 

1 

88 

28 
35 
26 
90 
31 

2 
0 

South  Kingstown 
Westerly 

0 
3 

7 

20 
18 
33 
104 
61 

0 
0 

8 

20 

9 

17 

35 

27 

0 
0 

13 

33 

6 

21 

15 

54 

0 

1 

5 

18 
8 
14 
18 
23 

0 

1 

10 

10 

12 

9 

8 

25 

0 
0 

10 

6 
9 

13 
13 
14 

0 

1 

24 

8 

5 

19 

30 

13 

0 
4 

40 

16 
21 
46 
25 
54 

0 
5 

89 

28 
33 
65 
34 
59 

0 
2 

50 

39 
39 
31 
46 
76 

2 
5 

32 

25 
35 
31 
53 
55 

2 

23 

Total 

"    1898 

326 

251 

"    1897 

9,80 

"    1896 

85^5 

"    1895 

471 

"    1894 

492 

*  Has  no  health  officer. 


TUBERCl  JA)SIS. 


]^a:aiiu)Hiii()nt<  (if  Sj^i/ti///t  /'or   Tahercalo^h  from.  Jamutrij  /,  ]S!)'i, 
to  January  1,  WOO. 


Clinical  Diagnosis. 


Bronchitis 

Bronchitis,  chronic 

Tuberculosis,  pulmonary 

Tuberculosis,  general 

Tubercular  laryngitis 

Pleurisy 

Pneumonia 

Influenza 

Asthma 

Empyema 

Post  nasal  catarrh 

Pharyngeal  catarrh 

Trachitis 

Acute  rheumatism,  with  symptoms  of  T.  B. 
No  diagnosis,  susp.  tuberculosis 


Total. 


74 

35 

309 

1 

11 
5 

10 
4 
2 
4 
2 
1 
1 
1 

25 

485 


a; — '  a^ 

s  =3  ^    I    =  SJ 


10 

12 

149 


58 

23 

100 

1 

5 

2 

9 

3 

2 

4 

2 

1 

1 

1 

19 


194 


291 


21 
12 
101 
1 
2 
3 
1 
2 
1 


153 


TUBERCULOSIS. 

Number  of  examinations  of  sputum 485 

Number  in  wliicli  tul)ercle  bacilli  were  found 194 

Numbrr  in  wliich  tulx-rcli'  bacilli  were  not  found 'J'.il 


136  STATE    BOARD    OF    HEALTPI.  [1899. 

During  tlie  year  tliere  were  485  specimens  of  sputum  submitted 
for  examination,  witli  the  supposition  on  the  part  of  the  attending- 
physician  that  tuberculosis  might  be  a  factor  in  the  causation  of 
the  symptoms  of  the  patient. 

Of  these,  in  309  the  clinical  symptoms  present  were  sufficiently 
distinctive  to  lead  the  physicians  to  believe  that  tuberculosis  of 
the  lungs  was  present.  In  194  of  these  cases  the  examination  of 
the  specimen  of  sputum  showed  the  presence,  in  greater  or  lesser 
quantity  of  tubercle  bacilli.  This  would  make  40  per  cent,  of 
cases  where  the  clinical  diagnosis  coincided  with  the  bacterial 
findings,  while  in  160  cases,  or  in  60  per  cent.,  the  bacilli  of  this 
disease  were  not  found.  While  this  negative  result  is  of  value,  yet 
it  does  not  carry  the  weight  of  a  distinct  negative,  as  to  the  actual 
presence  of  the  disease,  for  it  is  possible  to  obtain  from  the  patient 
a  specimen  of  sputum  which  is  composed  of  only  the  saliva  and 
secretions  from  the  larynx,  and  containing  none  from  the  air  pas- 
sages in  the  lungs.  The  organisms  may  also  be  present  at  times, 
in  the  lung,  either  lying  dormant  or  encapsulated,  and  will  not 
be  discharged  into  the  air  passages,  and  become  a  part  of  the 
sputum,  until  a  degenerative  process  is  set  up  which  breaks  down 
the  tissues  about  the  organisms  and  sets  them  free. 

In  the  eleven  cases  of  tubercular  laryngitis  six  were  positive. 
The  application  of  this  method  of  diagnosis  is  especially  valuable 
in  this  form  of  the  disease,  inasmuch  as  the  appearance  of  the 
larynx  may  indicate  the  presence  of  ulcerative  processes,  and  the 
formation  of  tubercles  from  other  causes. 

It  is  of  especial  value  in  these  cases,  for  the  organism  may  not 
as  yet  have  invaded  the  lung,  but  if  the  cases  are  neglected,  they 
may  readily  be  carried  to  the  lung  or  intestine,  and  there  propa- 
gate the  disease. 

It  is  of  interest  to  note  that,  of  109  cases  of  chronic  and  acute 
bronchitis,  in  28  cases  the  diagnosis  was  erroneous,  and  the  pres- 
ence of  tuberculosis  was  established  in  the  bronchi,  if  not,  also,  in 
the  lungs.  The  constitution  of  the  patient,  however,  being  suffi- 
ciently strong,  as  yet,  to  prevent  the  invasion  of  the  organisms 


1899.]  secretary's  report.  137 

into  larjji-e  areas,  tlie  symptoms  present  werr  not  sufficiently  dis- 
tinct, or  alarmino-,  to  warn  the  physician  of  the  dang-erous  element 
which  was  present.  In  33  instances,  wliere  the  diag-uosis  of  bron- 
chitis was  made,  there  had  l)eeu  other  cases  of  the  disease  in  the 
family. 


18 


RECORDS  OF  ALL  CASES  OF  CONSUMPTION  IN  THE  STATE. 


As  a  part  of  the  investigation  of  the  subject  of  tuberculosis  in 
man,  a  card  cataloiiue  record  of  all  deaths  from  pulmonary  tuber- 
culosis has  been  arranged.  At  present  this  data  is  available  from 
the  commencement  of  the  year  1890,  and  is  completed  to  date. 
This  division  of  the  work  afibrds  much  interesting  material  for 
study.    The  numlier  of  deaths  for  the  different  years  was  as  follows : 

Deaths  in  1890 852 

"    1891 740 

"    1892 759 

"    1893 722 

"   1894 705 

"    1895 839 

"    1890 846 

"    1897 777 

"    1898 88f; 

"    1899 972 

Total .■ 8,098 

These  8,098  cases  are  recorded  on  cards  with  the  following  data : 
Name,  address,  age,  color,  mamed,  single,  or  widow,  name  before 
marriage,  and  date  of  death.  By  collecting  the  names  in  this  way 
it  is  observed  that  certain  names  recur  at  varying  periods  of  time, 
and  by  looking  up  the  individual  case  further  it  will  be  found  that 
this  death  has  occurred  in  a  family  where  previous  deaths  from 
consumption  have  taken  place,  the  address  in  many  cases  being 
the  same. 


1899.]  secketart's  report.  139 

In  addition  to  the  card  catalog-ue  of  the  names  of  the  decedents, 
a  separate  card  catalog-ue  of  the  pre?mses  where  the  death  occurred 
has  been  kept,  and  thus  it  is  possible  to  ascertain  when  any  par- 
ticular house  may  have,  by  chance,  been  infected  with  this  disease. 
It  is  further  possible  to  ascertain  if  more  than  one  case  has  oc- 
curred in  any  one  house. 


OUTBREAK  OF  TYPHOID  FEVER  IN  WOONSOCKET. 


During  the  latter  part  of  May,  information  was  received  from 
the  superintendent  of  the  Woonsocket  Water  Works,  Mr.  Byron 
I.  Cook,  that  there  was  a  report  circulating*  that  an  unusual  num- 
ber of  cases  of  typhoid  fever  were  present  in  that  city,  and,  for  the 
purpose  of  ascertaining  if  the  cases  present  could  be  connected 
in  any  way  with  the  city  water  supply,  requested  the  secretary  to 
visit  the  city  and  investigate  the  local  conditions. 

For  the  purpose  of  ascertaining-  how  many  cases  existed,  and 
what  knowledge  of  the  condition  might  be  obtained  at  once,  a 
communication  was  directed  to  the  health  officer  of  the  city.  Dr. 
A.  M.  Paine,  asking-  for  the  number  of  cases  present,  and  the 
association  of  water  and  milk  supply  to  these  cases. 

In  answer  to  this  inquiry  the  following  statement  was  received  : 

Woonsocket,  R.  I.,  June  13,  1899. 
Gardner  T.  Smarts,  M.  D.,  Secretary  of  the  State  Board  of  Health  : 

Deae  Doctor. — In  reply  to  yours  of  the  12th  instant,  I  have  to  state  that 
I  have  received  no  official  report  of  any  cases  of  typhoid  fever  in  this  city 
during  the  past  two  months  or  more,  and  as  all  the  physicians  in  Woon- 
socket thoroughly  understand  that  they  are  expected  to  report  such  con- 
tagious or  infectious  diseases  as  may  come  to  their  knowledge  from  time 
to  time,  to  the  health  department,  according  to  the  city  ordinances,  and 
personal  instructions  as  by  inclosed  card,  which  cards  are  always  in  their 
hands,  I  conclude  that  if  there  is  typhoid  fever  here  they  are  uncertain  in 
their  diagnosis  and  therefore  have  not  reported. 

I  have  heard  incidentally  of  one  or  two  families  where  there  are  cases 
of  supposed  typhoid  fever,  but  have  been  able  to  trace  them  to  no  definite 
conditions  as  source. 


1899.]  SJ:CKEtAUY's    REPOUT,  Ul 

r  sliivll  look  alter  the  luatlcr  at  oiicc.  ami  cdiircr  with  yon  if  tlierc  are 

any  new  devek)pnients. 

^'(Kirs  truly. 

A.    M.    PAIXR. 

Ilrallli   OlUcer. 

NOTICE    OF   CONTAGIOUS    DISEASES. 


Maine  of  Patient 

Age  of  Patient 

Residence 

Disease 

Physician. 

Date 


WOONSOCKET  CITY  ORDINANCES,  CHAP.  50,  SECS.  1  And  2. 

Every  physician  liaving  knowledge  of  tlie  existence  of  any  contagious  disease  within  the 
city  of  Woonsocket  shall  immediately  make  a  report  thereof  in  writing  to  the  Health  Officer 
of  said  city,  on  blanks  furnished  for  tlie  purpose. 

The  diseases  referred  to  in  the  preceding  section  shall  include,  among  others,  small-pox. 
diphtheria,  typhoid  fever,  typhus  fever,  scarlet  fever  or  scarlatina. 

As  is  customaiy  under  these  conditions,  when  the  i)hysicians 
have  for  any  reason  become  lax  with  their  reports  of  contagions 
diseases,  and  for  the  purposes  of  immediate  and  correct  informa- 
ticm  as  to  the  amount  of  typhoid  fever  present,  the  followini^- 
circular  letter  was  sent  to  every  physician  in  Woonsocket  and 
adjacent  villages : 

Dkar  Doctor. — "Will  you  kindly  report  to  me  any  eases  of  typhoid 
fever  wliieli  you  may  have  attended  duriiin-  tiie  past  live  weeks,  and  oblige. 

Replies  were  promptly  received  tVcnn  oiglit  physicians.  From 
the  fact  that  no  response  was  received  from  otlier  physicians  to 
whom  the  letter  was  sent,  it  is  assumed  that  they  had  had  no  cases. 

From  the  physicians  reporting  it  was  ascertained  that  four  had 
had  no  cases,  one  had  had  two  suspicious  cases  but  which  had  not 
developed  suthciently  distinct  symptoms  to  consider  them  as  ca.ses 
of   typhoid    fever.     Blood    from    tliese    two  cases,  submitted    by 


142  STATE    BOARD    OF   HEALTH.  [1899. 

the  attending-  physician  to  the  department  for  examination, 
showed  no  reaction  to  the  Widal  test.  One  other  case  in  another 
family,  reported  by  this  physician  as  typhoid  fever,  was  taken  sick 
on  May  12th.  The  Widal  test  of  blood  from  this  patient  was 
made  on  June  14th,  and  showed  a  positive  reaction.  Another  case 
also  examined  at  the  same  time  showed  the  Widal  reaction.  Two 
other  physicians  each  reported  two  cases  in  one  family.  One 
physician  reported  six  cases,  three  being-  in  one  family  and  the 
other  three  in  separate  families. 

It  will  be  seen  from  these  reports  that  there  were  twelve  cases 
of  typhoid  fever  which  had  been  present,  attended  by  three  differ- 
ent physicians,  and  that  none  of  these  cases  were  reported  to  the 
health  officer  of  the  city.  One  of  these  physicians  inquired  if  it 
was  a  requirement  that  these  cases  should  be  reported,  and  ex- 
pressed his  desire  and  intention  of  reporting  all  future  cases. 

An  inspection  of  the  premises  where  the  actual  as  well  as  the 
supposed  cases  occurred,  disclosed  the  fact  that  the  residences  of 
the  patients  were  not  confined  to  any  one  locality  ;  the  water  supply 
varied,  some  having  the  city  supply  and  others  using-  wells  upon 
the  premises. 

A  bacteriological  analysis  of  the  well  water. of  one  of  the  cases 
showed  the  water  to  be  of  fair  quality  for  a  surface  well.  It  was 
so  situated  as  to  preclude  any  chance  pollution  from  drains,  cess- 
pools, or  vaults. 

The  milk  supply  was  from  various  sources. 

As  a  result  of  the  examination  of  the  five  premises  where  the 
twelve  cases  had  occurred,  no  determination  could  be  made  as  to 
where  the  patients  had  contracted  the  disease. 

The  conditions,  however,  which  existed  between  the  physicians 
and  the  health  officer  were  to  be  deplored,  since  it  placed  the  city 
in  an  unfortunate  position  in  case  an  epidemic  should  be  pending 
or  under  way,  and  much  valuable  time  might  be  lost  in  searching 
out  a  common  cause,  in  case  one  existed,  owing  to  the  failure  of 
the  physicians  to  report  the  cases  as  soon  as  reported. 


IMPROVEMENT  IN  THE  WATER  SIPFEY  OF  THE  EAST 
PKOVIDENTE  WATER  COMPANY. 


DuriDo-  the  year  1898  the  board  inspected  the  water  shed  of  the 
Teu  Mile  river,  being-  the  stream  from  which  the  East  Providence 
Water  Company  obtained  its  supply  of  water.  This  supply  was 
furnished  to  a  larg-e  number  of  consumers  in  the  town  of  East 
Providence. 

The  attention  of  the  water  company  was  called  to  the  fact  that 
the  stream  was  being-  polluted  by  the  wastes  of  numerous  factories, 
and  received  house  and  surface  sewag-e  from  many  towns  in  Massa- 
chusetts and  from  some  localities  in  the  State  of  Rhode  Island. 
It  was  estimated  by  the  Massachusetts  Board  of  Health  that  the 
contaminations  included  the  wastes  from  4,500  persons. 

A  request  was  lodged  with  the  board  of  health  of  Massachusetts 
asking-  for  relief  from  these  conditions,  but  it  was  found  that  that 
boai'd  could  give  no  assistance. 

The  attention  of  the  East  Providence  Water  Company  Avas  called 
to  this  condition  of  affairs,  and  the  need  and  urgency  of  that  com- 
pany in  taking  some  steps  to  purify  the  supply  or  to  abandon  the 
same  was  shown. 

The  water  company  at  once  agreed  to  take  immediate  steps  for 
the  improvement  of  the  supply'  so  far  as  it  might  be  able  to  do  so ; 
and  upon  recommendation  of  the  secretary  of  the  board  of  the 
system,  known  as  the  mechanical  or  American  method  of  filtration, 
the  company  placed  a  contract  for  a  mechanical  filter  with  the 
New  York  Filter  Company,  the  operation  of  which  should  he 
satisfactory  to  the  board  of  health. 

A  plant  was  placed  in  a  filter  building-  near  the  pumping  station. 


144  STATE    BOARD    OF   HEALTH.  [1899. 

with  all  the  necessary  piping,  valves,  and  tanks  necessary  for  the 
perfect  operation  of  a  mechanical  filter  plant. 

Before  acceptance  of  the  plant,  and  to  satisfy  the  board  of  health 
and  for  its  own  satisfaction,  the  company  at  its  own  expense  insti- 
tuted a  series  of  experiments  or  tests  of  this  plant. 

The  plant  proving  satisfactory  in  every  way,  it  was  accepted 
and  continued  in  commission,  and  has  continued  to  furnish  to  the 
consumers  a  clear,  white  water,  freed  from  the  taste  of  the  raw  or 
unfiltered  water,  and  freed  from  bacteria  to  the  extent  of  98  to  99 
per  cent,  on  the  average. 

A  paper,  read  by  the  secretary  before  a  meeting  of  the 
American  Public  Health  Association,  giving  the  figures  and  de- 
tails of  the  experiment,  will  be  found  in  the  appendix. 


ADDITION  TO  THE  LAWS  GOVERNING  THE  REGISTRATION 
OF  BIRTHS,  DEATHS,  AND  MARRIAGES. 


As  mio-ht  he  expected  by  those  familiar  with  the  conditions 
g-overning-  the  record  of  vital  statistics,  it  not  infrequently  happens 
that  important  data  in  reference  to  an  incomplete  record  of  a 
death  or  of  a  marriage  or  birth  is  brought  to  the  notice  of  the 
.city  or  town  registrar.  Facts  in  reference  to  parentage  or  other 
relationship  may  have  been  omitted  in  an  original  return.  Old 
papers  may  be  discovered  or  information  received  establishing 
the  identity  of  a  person  unknown  so  far  as  the  facts  on  the  record 
show.  Man}^  deaths  are  recorded  on  tombstones  of  ancient  date, 
but  no  record  is  to  be  found  in  the  town  clerk's  office.  The  tomb- 
stone may  go  to  decay,  but  the  records,  if  properly  preserved,  will 
always  be  available.  Births  are  quite  frequently  unreported.  No 
physician  or  even  midwife  is  in  attendance  at  the  confinement.  The 
parents  are  not  familiar  with  tlie  requirements  and  advantages  of 
the  law  in  this  connection,  and  make  no  report.  The  records  to  be 
found  in  the  parish  church,  where  the  record  of  the  christening  of 
infants  is  to  be  found,  is  often  replete  Avith  the  names  of  children 
born  in  the  State,  but  no  record  of  the  birth  is  found  in  the  town 
records. 

That  these  cases  might  not  be  lost,  and  as  no  provision  had 
been  made  to  preserve  them,  the  following  act  was  passed  at  the 
January  session  of  the  legislature  : 

19 


146  STATE   BOAED    OF    HEALTH.  [1899. 


STATE   OF  RHODE  ISLAND  AND   PROVIDENCE  PLANTATIONS. 


January  Session,  A.  D.  1899. 


AN"  ACT  IN  Addition  to  CHArTER  100  of  the  General  Laws, 
Entitled  "Of  the  Registration  of  Births,  Deaths,  and 
Marriages." 

It  is  enacted  hy  the  General  Assembly  as  folloivs: 

Section  1.  Chapter  100  of  the  General  Laws,  entitled  "Of  the  regis- 
tration of  births,  death,  and  marriages,"  is  hereby  amended  by  adding 
thereto  a  section  to  read  as  follows  : 

"Sec.  25.  If  it  shall  come  to  the  knowledge  of  a  town  clerk,  or  any  per- 
son appointed  under  the  provisions  of  section  1  hereof,  that  any  birth, 
marriage,  or  death  which  has  occurred  in  his  town  or  city  has  not  been 
returned  to  him  as  required  by  this  chapter,  or  has  not  been  recorded, 
such  town  clerk  or  person  shall  record  the  facts  called  for  by  section  3 
hereof  to  the  extent  he  shall  receive  in  any  way  any  credible  information 
of  the  same.  If  any  error  shall  be  made  in  the  return  of  any  birth,  mar- 
riage, or  death,  or  shall  be  discovered  in  the  records  of  births,  marriages, 
or  deaths,  such  error  shall  be  corrected  without  erasure.  In  each  case 
the  source  of  the  information  from  which  the  addition  or  correction  is 
made,  and  the  date  of  making  the  same,  shall  be  noted  on  the  face  of  the 
record,  and  such  town  clerk  or  person  shall  attest  the  same  by  his  signa- 
ture thereon.  Such  town  clerk  or  person  shall  annually,  on  or  before  the 
first  Monday  in  March,  make  duly  certified  returns  to  the  secretary  of  the 
state  board  of  health  of  all  such  additions  and  corrections  made  during 
the  year  ending  on  the  thirty-first  day  of  December  next  preceding.  Such 
town  clerk  or  person  shall  receive,  for  each  such  additional  record  and  re- 
turn of  a  death,  marriage,  or  birth  made  by  him,  the  same  fees  specified  in 
sections  12  and  19  hereof  for  recording  and  returning  deaths,  marriages, 
and  births  respectively." 

Sec.  2.    This  act  shall  take  effect  from  and  after  its  passage. 


WORKING  OF  THE  MEDICAL  PRACTICE  ACT. 


LEGISLATION. 


A  l)ill  was  introduced  at  the  January  session  of  the  legislature 
amending  the  medical  practice  act,  and  providing  for  the  issuance 
of  a  certificate  only  upon  the  examination  of  the  applicant ;  a  di- 
ploma from  a  recognized  medical  school  not  being  sufficient  to 
prove  the  qualifications  of  the  applicant. 

The  amendment  also  provided  for  the  omission  of  freedom  to 
practice  midwifery  to  midwives,  thej^  being  under  the  present  law 
permitted  to  practice,  being  excluded  from  the  requirements  of 
holding  a  certificate  under  the  present  law.  Provision  was  also 
made  wherebj^  it  would  be  possible  to  refuse  to  grant  a  certificate, 
or  whereby  a  certificate  already  granted  might  be  revoked,  upon 
presentation  of  evidence  that  the  applicant  or  practitioner  had 
been  found  guilty  of  crime  ;  also  a  more  distinctive  explanation 
as  to  what  constitutes  the  practice  of  medicine,  the  latter  provis- 
ion being  introduced  for  the  purpose  of  correcting  the  Aveakness 
of  the  present  law  as  interpreted  by  the  supreme  court  on  the 
appeal  of  three  cases  of  the  State  Board  of  Health  against  three 
Christian  Scientists,  so-called. 

In  the  decision  it  was  ruled  that  the  practice  of  medicine  nec- 
essarily embraced  the  use  of  drugs  in  the  common  acceptance  of 
the  term  as  a  remedial  agency,  and  that  prayer  and  suggestion  did 
not  constitute  the  practice  of  medicine. 

The  bill  was  referred  to  the  Committee  on  Judiciary,  and  a  [tre- 
liminary  liearing  was  accorded  the  petitioners  to  explain  the 
purpose  of  the  amendment,  and  upon  application  from  attorneys 


148  STATE   BOAKB    OP   HEALTH.  [1899. 

representing  the  Christian  Science  church,  and  others,  a  public 
hearing-  was  given. 

The  hearing  was  attended  by  over  two  hundred  persons,  mostly 
ladies  representing  the  sect  of  scientists,  and  some  so-called  meta- 
physicians and  mind  curers.  They  were  represented  in  their 
argument  against  the  amendment  by  four  attorneys  and  by  a 
leader  of  the  church. 

The  committee  was  impressed  by  the  arguments  presented, 
which  were  directed  to  questioning  the  constitutionality  of  such 
a  law  and  the  question  of  individual  or  personal  liberty,  and  the 
bill  failed  to  pass  even  with  modifications  which  were  satisfactory 
to  the  opponents  of  the  amendment. 

RULING. 

August,  1899,'  the  following  ruling  was  passed  by  the  board  in 
respect  to  the  requirements  of  schools  to  be  in  good  standing 
before  the  board  for  the  issuance  of  a  certificate  to  practice  medi- 
cine upon  the  presentation  of  a  diploma  only,  without  examination  : 

"On  and  after  January  first,  1900,  the  diploma  of  any  medical 
college  where  a  course  of  instruction  does  not  extend  over  a  period 
of  at  least  eight  months  in  each  and  every  year  of  its  four-year 
course  will  not  be  accepted,  and  such  a  college  shall  be  rated  as 
not  in  good  standing,  and  a  supplementary  examination  will  be 
required  of  applicants  presenting  such  a  diploma." 

CONTINUANCE   OF   APPEAL. 

In  the  year  1896,  Julius  A.  Pirlot  made  application  to  the  board 
for  a  certificate,  presenting  as  his  qualifications  a  duplicate  of  a 
diploma  purporting  to  be  issued  by  the  Faculty  de  M^decine  de 
Paris. 

The  board,  not  being  satisfied  with  the  credentials  shown,  had 
referred  the  applicant  for  examination.  He  refused  to  undertake 
the  examination,  but  established  a  drug  store  in  the  city  of  Provi- 
dence, declaring  to  the  secretary  that  he  thought  he  could  prac- 


1899.]  SECIiKTAKY'.S    KKI-olcT.  Hd 

tico  witliout  compliance  with  the  requirements  f)f  tlio  board,  wliere 
he  ottered  to  the  jiublic  free  Cf)nsnltation  and  sohl  to  Huch  perHons 
as  sought  his  advice  dru^s  which  lie  componiided  in  his  store, 
which  drui^s  always  cost  the  purchaser  at  least  two  dollars.  The 
l)()ard  secured  evidence  of  this  procedure  and  placed  it  before  the 
court,  and  he  was  found  jSfiiilty  at  a  trial  by  jury  in  the  court  of 
common  pleas. 

An  exception  was  placed  against  this  decision,  on  the  ground 
that  the  judge  in  charging  the  jury  stated  that  it  did  not  matter 
whether  the  defendant  received  a  fee  or  not,  meaning  that  the 
reception  of  a  bonus  for  the  drugs  supplied  with  the  advice  really 
constituted  the  fee.  On  this  exception,  however,  the  appellate 
di-vasion  saw  fit  to  reverse  the  decision  and  quashed  the  trial. 

A  second  suit  was  at  once  instituted  on  the  same  evidence  and 
brought  to  the  higher  court.  The  jury  disagreed,  and  the  case 
was  left  for  the  time  being ;  and  pending  the  action  taken  by  the 
defendant  in  making  an  appeal  against  the  refusal  of  the  board  to 
grant  a  certiticate,  it  was  considered  advisable  by  the  attorney- 
general,  who  prosecuted  the  case,  to  remove  from  the  evidence 
before  the  jury  any  influence  which  might  arise  as  to  any  genuine 
value  of  the  diplomas  presented  by  the  defendant. 

After  manj'  delaj'S,  owing  to  illness  on  the  part  of  the  appellant, 
a  hearing  was  brought  to  issue  before  the  appellate  division. 

The  appellant  presented  the  alleged  copy  of  a  diploma  from  the 
Faculty  de  M^decine  de  Paris,  and  claimed  a  right  to  a  certificate 
upon  that  ground.  The  board  submitted  evidence  showing  that 
he  had  been  guilty  of  unprofessional  conduct  in  the  State  of 
Massachusetts,  where  he  had  imposed  upon  a  citizen  to  the  extent 
of  an  endeavor  to  take  away  the  man's  real  estate  and  home  in 
payment  for  alleged  professional  services,  shown  to  be  unnecessaiy 
and  extortionate,  and  whereon  he  had  brought  suit  against  his 
patient. 

The  evitleuce  also  presented  affidavits  from  the  records  of  the 
Faculty  de  M^deciue  de  Paris,  stating  and  showing  that  Julius  A. 
Pirlot  never  attended  that  school  of  medicine  ;  that  his  name  was 


150  STATiE    BOARD    OF   HEALTH.  [1899. 

never  entered  on  its  books,  and  that  consequently  no  diploma  was 
ever  issued  to  Julius  A.  Pirlot.  ^ 

The  defendant  offered  a  plea  that  there  was  some  mistake  some- 
where, and  petitioned  the  court  for  time  to  rebut  this  later  evi- 
dence. The  court  granted  a  period  of  time  for  this  purpose.  The 
defendant,  however,  never  re-appeared  to  establish  his  claim,  and 
the  decision  of  the  board  in  its  refusal  was  affirmed.  The  defend- 
ant leaving-  the  State,  the  prosecution  for  practice  of  medicine 
without  license  was  abandoned. 

PEOSECUTION. 

During  the  year  1898  the  attention  of  the  secretary  was  called 
to  four  different  cases  wherein  certain  persons  were  alleged  to 
have  established  a  business  for  the  treatment  and  cure  of  disease. 
One  of  these  cases  was  that  of  a  graduate  of  a  medical  school,  the 
standing  of  which  was  not  rated  at  the  standard  required  by  the 
board  as  in  good  standing.  An  examination  was  required  of  the 
applicant,  who  failed  to  appear  for  examination,  and,  without  ob- 
taining a  certificate,  opened  au  office  in  the  city  of  Providence, 
and  proceeded  in  the  practice  of  medicine. 

Investigation  of  the  case  proved  the  allegations  to  have  founda- 
tion, and  he  was  brought  before  the  district  court,  and  upon 
evidence  presented  was  found  probably  guilty  and  referred  to 
the  grand  jury.  Before  the  grand  jury,  upon  evidence  presented, 
he  was  found  probably  guilty,  and  his  case  was  set  down  for  trial 
before  the  court  of  common  pleas,  where,  after  due  trial,  he  was 
found  guilty. 

The  other  three  cases  of  the  four  which  came  before  the  board 
at  this  time  were  practitioners,  or  operatives,  in  that  form  of 
practice  known  to  the  medical  profession  as  healing  by  suggestion, 
or  mind  curists. 

In  one  of  these  cases  it  was  found  that  the  practitioner,  or  healer, 
had  made  several  visits  upon  a  boy  suffering  with  disease  of  the 
knee  joint ;  that  he,  the  practitioner,  had  made  several  visits  upon 


1899.]  secretaky's  kki-okt.  151 

the  imtieiit,  who  was  the  son  of  jieople  in  poor  circnmstanceH  ; 
tliat  he  had  advised  the  patient  in  reference  to  tlie  diseased  joint 
to  tlie  effect  that  he  should  not  l)elieve  that  there  was  pain  or 
disease  present,  and  that  the  joint  wouhl  get  better,  and  for  this 
advice  had  collected  as  nnich  of  his  fc^e  as  the  jiarents  of  the 
patient  could  accumulate  and  borroAv  from  friends 

The  second  case  was  brought  to  the  attention  of  the  board 
through  a  member  of  the  board  being  called  upon  to  advise  in  a 
case  where  a  gentleman  had  liecome  so  interested  in  the  subject 
of  mind  healing  that  his  own  mind  had  become  weakened,  and  he 
was  committed  to  the  Butler  Hospital  for  the  Insane  for  a  certain 
period.  It  was  ascertained  that  the  agg-ravation  and  continuance 
of  his  diseased  condition  was  caused  by  his  taking-  readings  or 
lessons  or  interpretations  of  certain  works  on  mind  cure,  for  -which 
lesson  he  paid  each  time  a  fee  of  ten  dollars ;  but  with  each  visit 
to  the  reader  the  patient's  mind  became  more  unsettled,  until  he 
meditated  violence  to  members  of  the  family. 

The  third  case  was  brought  to  the  notice  of  the  board  by  a  phj'- 
siciau  who  was  called  to  treat  a  little  girl  who  was  suffering-  from 
a  severe  state  of  nervous  depression  caused  by  her  being  accosted 
on  the  street  by  a  g-entleman. 

The  child  w^as  suffering  from  a  diseased  hip,  which  caused  lame- 
ness. The  gentleman  who  spoke  to  her,  evidently  noting-  the  de- 
formity, stopped  her  and  told  her  that  she  ought  not  to  suffer 
from  such  a  trouble,  and  that  if  she  would  come  to  his  ofHce  lie 
would  cure  her  of  the  disease.  This  Avas  the  statement  broug-ht 
home  to  the  parents  by  the  child.  In  corroboration  of  her  ex- 
jierience  was  the  state  of  nervousness  in  which  she  appeared,  and 
also  a  business  card  which  the  gentleman  had  presented  to  her, 
and  which  l)ore  the  name  of  a  well-known  and  mucli  respected 
business  man  and  the  legend  that  he  was  a  metaphysician.  The 
card  also  bore  the  address  and  office  hours. 

Through  the  ag-ents  of  the  board  it  was  ascertained  that  all 
three  of  these  persons  were  prepared  to  receive  patients  who  were 
suffering  from  supposed  or  real  disease,  and  to  give  theni  advice 


153  STATE    BOARD    OF    HEALTH.  [1899. 

for  which  they  accepted  a  fee  for  the  services  rendered.  No  drugs 
were  g-iven  or  ordered.  The  advice  was  oral,  and  the  treatment 
consisted  of  prayer  in  the  presence  of  the  patient. 

Assuming  that  the  treatment  of  disease,  or  the  offer  or  attempt 
to  treat  disease,  and,  from  the  instructions  given  by  the  various 
chairs  of  therapeutics  in  the  various  medical  schools,  that  the  use 
of  suggestion  was  an  important  and  useful  part  of  the  medical 
resources  of  the  regular  practitioner,  an.d  was  as  necessary  at  times 
as  the  use  of  drugs,  the  secretary,  agreeably  with  the  provisions  of 
the  statutes  or  general  laws  of  the  State,  entered  complaint  against 
these  three  practitioners,  and  they  were  heard  before  the  district 
court  and  found  probably  guilty  and  remanded  to  the  grand  jury, 
which  body  in  turn,  upon  the  evidence  presented,  also  found  a  true 
case  against  each  of  the  three  men. 

Pending  their  assignment  for  trial  before  the  court  of  common 
pleas,  a  demurrer  was  entered  before  the  supreme  court  upon  the 
question  of  constitutionality  of  the  complaint  as  fully  set  forth 
in  the  following  copy  of  the  record  of  the  decision  handed  down 
by  the  full  bench  of  the  supreme  court  of  the  State  : 

STATE  vs.  WALTER  E.  MYLOD. 

Providence— July  18,  1898. 

Present  :    Matteson,  C.  J.,  Stiness,  Tillinghast,  Wilbur,  Rogers,  Douglas 

and  Bosworth,  J.  J. 

One  cannot  question  the  constitutionality  of  a  statute  unless  liis  rights 
would  be  affected  by  its  enforcement.  The  duty  of  a  court  to  construe 
a  statute  arises  only  when  its  meaning  is  obscure  ;  if  the  legislature  has 
plainly  expressed  its  meaning,  construction  is  excluded.  In  the  con- 
struction of  penal  statutes,  words  and  phrases  must  be  taken  in  their 
ordinary  acceptation  and  popular  meaning,  unless  a  contrary  intent  ap- 
pears. 

Words  of  such  statutes  are  not  restricted  hi  meaning  within  the  narrowest 
limits,  nor  extended  beyond  their  common  interpretation  ;  and  the  ac- 
cused is  entitled  to  the  benefit  of  any  reasonable  doubt  as  to  whether 
the  acts  done  are  within  the  meaning  of  the  statute. 

The  object  of  the  statute  relating  to  the  registration  of  physicians  is  to 
regulate  the  practice  of  medicine  and  surgery,  and  thereby  secure  the 
safety  and  protect  the  health  of  the  public. 


1899.]  secretary's  rei'Okt,  153 

The  "practice  of  medicine"  relates  to  the  art  of  preventing,  curing',  or 
alleviating  disease  or  pain  ;  popularly,  it  consists  in  the  discovery  of  the 
cause  and  nature  of  disease  and  the  administration  of  remedies,  or  pre- 
scribing treatment  therefor. 

Mere  words  of  encouragement,  praj'er  for  divine  assistance,  or  the  teach- 
ing of  "Christian  Science,"  do  not  constitute  the  practice  of  medicine 
in  either  of  its  branches. 

The  State  Board  of  Health  is  not  clothed  with  arbitrary  power;  it  can 
only  determine  whether  an  applicant  for  a  certificate  to  practice  medi- 
cine possesses  tlie  statutory  qualifications  to  practice  in  accordance  with 
the  recognized  theories  of  a  particular  school  or  system. 

The  assumption  of  the  title  of  "doctor"  is  not  prohibited  by  statute,  and 
is  not  unlawful. 

Complaint  charging  the  practice  of  medicine  and  sui-gery  for  reward 
without  registration  and  license.  Certified  from  a  District  Court  and 
heard  on  the  constitutionality  of  Gen.  Laws,  K.  I.,  cap.  105. 

BoswoRTH,  J.  The  defendant  was  adjudged  probably  guilty  in  the  Dis- 
trict Court  of  the  Sixth  Judicial  District  of  the  State  of  Rhode  Island. 
Said  complaint,  which  was  made  under  cap.  I(i5,  Gen.  Laws,  R.  I.,  alleges 
that  the  defendant,  at  Providence,  on  the  twenty-sixth  day  of  Xovember 
1807,  "did  then  and  there  practice  medicine  and  surgery  for  reward  and 
compensation,  Avithout  lawful  license,  ceftificate,  and  authority,  and  not 
being  then  and  there  duly  registered  according  to  law." 

The  defendant,  upon  arraignment,  pleaded  guilty,  and  subsequently, 
and  before  judgment,  raised  a  question  of  the  constitutionalty  of  said  cap. 
165,  which  question,  in  accordance  with  the  provisions  of  cap.  250,  Gen. 
Laws,  H.  I.,  was  certified  and  transmitted  to  the  Appellate  Division  of 
the  Supreme  Court  for  decision. 

Gen.  Laws  R.  I.,  cap.  165,  provides  for  the  registration  of  physicians 
and  its  object  is  to  regulate  the  practice  of  medicine  and  surgery,  f  uder 
this  chapter,  authority  to  practice  medicine  and  surgery  is  through  a  cer- 
tificate issued  by  the  State  Board  of  Health,  and  said  board,  upon  applica- 
tion, and  without  discrimination  against  any  particular  school  or  system 
of  medicine,  is  required  to  issue  such  certificate  to  any  reputable  physi- 
cian, practicing  or  desiring  to  begin  the  practice  of  medicine  or  surgery  in 
this  State,  who  possesses  certain  specified  qualifications. 

Section  2  of  said  chapter,  in  part,  is  as  follows  : 

"Sec.  2.  It  shall  be  unlawful  for  any  person  to  practice  medicine  or 
surgery  in  any  of  its  branches,  within  the  limits  of  this  state,  who  has  not 
exhibited  and  registered  in  the  city  or  town  clerk's  ofiice  of  the  city  or 
town  in  which  he  or  she  resides,  his  or  her  authority  for  so  practicing 

20 


154  STATE    BOAED    OF    HEALTH.  [1899. 

medicine  as  herein  provided,  together  with  his  or  lier  age,  address,  place 
of  birth,  and  the  school  or  system  to  which  he  or  she  proposes  to  belong." 

Section  8  of  said  chapter  is  as  follows  : 

"Sec.  8.  Any  person  living  in  this  state,  or  any  person  coming  into 
this  state,  who  shall  practice  medicine  or  surgery,  or  attempt  to  practice 
medicine  or  surgery  in  any  of  its  branches,  or  who  shall  perform  or  at- 
tempt to  perform  any  surgical  operation  for  or  upon  any  person  within 
the  limits  of  this  state,  for  reward  or  compensation,  in  violation  of  the 
provisions  of  this  chapter,  shall  upon  conviction  thereof  be  fined  fifty  dol- 
lars, and  upon  each  and  every  subsequent  conviction  shall  be  fined  one 
hundred  dollars  and  imprisoned  thirty  days,  or  either  or  both,  in  the  dis- 
cretion of  the  court ;  and  in  no  case,  where  any  provision  of  this  chapter 
has  been  violated,  shall  the  person  so  violating  be  entitled  to  receive  com- 
pensation for  services  rendered.  To  open  an  office  for  such  purpose,  or  to 
.announce  to  the  public  in  any  other  way  a  readiness  to  practice  medicine 
or  surgery  in  this  state,  shall  be  to  engage  in  the  practice  of  medicine 
within  the  meaning  of  this  chapter." 

For  the  State,  Everett  Hall  testified,  substantially,  that  he  called  upon 
the  defendant  at  his  residence  and  asked  to  be  cured  of  malaria  ;  that  the 
defendant  said  he  was  Doctor  Mylod  ;  that  the  defendant  sat  looking  at 
the  floor,  with  his  eyes  sliaded,  as  if  engaged  in  silent  prayer,  for  about 
ten  muiutes,  and  then  looking  up  said,  "I  guess  you'll  feel  better  ;  "  that 
defendant  gave  him  a  book  entitled  "A  Defence  of  Christian  Science  ; " 
that  he  gave  defendant  one  dollar  ;  that  defendant  did  not  recommend  nor 
administer  any  drug  or  medicine,  nor  take  his  pulse  or  temperature,  nor 
do  any  of  the  things  usually  done  by  physicians. 

Clarence  Vaughn,  in  behalf  of  the  State,  testified  that  he  called  upon 
the  defendant  at  his  residence  on  two  occasions  and  requested  to  be  cured 
of  grippe  ;  that  he  gave  defendant  one  dollar  each  visit ;  that  the  defend- 
ant said  he  was  Doctor  Mylod  ;  that  defendant  gave  him  a  card  stating 
the  defendant's  office  hours  and  describing  defendant  as  Christian  Scient- 
ist, but  not  in  any  way  referring  to  defendant  as  a  physician  ;  that  de_ 
fendant  did  not  take  his  pulse  or  temperature,  nor  do  any  of  the  other 
things  that  physicians  do  in  treating  disease,  but  seemed  to  be  sitting  in 
silent  prayer;  that  defendant  gave  him  a  book  entitled  "An  Historical 
Sketch  of  Metaphysical  Healing  ; "  that  defendant  told  him  to  look,  not 
on  the  dark  side  of  things,  but  on  the  bright  side,  and  to  think  of  God,  and 
it  would  do  him  good,  since  thought  governs  all  things. 

Dr.  Gardiner  T.  Swarts,  secretary  of  the  State  Board  of  Health,  testified 
that  the  defendant  is  not  a  registered  physician  ;  that  said  defendant  does 


1890.]  SfiCRETAKY's    KKrOliT.  l66 

not  have  autliority  to  practice  medicine  in  Riiode  Island,  and  that  pliysi- 
cians  often  cnre  disease  without  the  use  ol"  drugs  or  medicine. 

For  the  defence,  the  cliarter  of  the  I'mvidence  (Miurcli  of  Christ,  Scient- 
ist, was  introduced  in  evidence,  and  the  defendant  testified,  substantially, 
that  he  is  the  president  and  lirst  reader  or  pastor  of  said  church  ;  that 
said  cluurli  lias  been  organized  and  has  held  regular  services  for  seven 
years  ;  that  said  church  belongs  to  tlie  sect  known  as  Christian  Scientists, 
in  whose  belief  (Jod  and  Jesus  Christ  and  the  JJible  hold  a  supreme  place  ; 
that  the  principal  distiuguishiug  dilference  between  Christian  Scientists 
and  other  sects  consists  in  the  belief  of  the  former  regarding  disease, 
which  they  believe  can  be  reduced  to  a  minimum  through  the  power  of 
prayer ;  that  the  public  religious  services  of  said  church  consist  of  silent 
prayer,  music,  reading  of  the  scriptures,  and  of  extracts  from  "Science 
and  Ilealtli,"  by  ]\Iary  (1.  Baker  Eddy  ;  that  he,  beyond  a  greater  realization 
of  truth  which  liis  longer  study  of  Christian  science  may  have  given  him, 
professed  to  have  no  greater  power  over  illness  than  that  possessed  by  any 
member  of  his  church  ;  that  he  did  not  tell  the  witnesses  Hall  and  Vaughn 
that  he  could  cure  them,  nor  did  he  call  himself  a  doctor  ;  that  he  did  not 
attempt  to  cure  them  by  means  of  any  power  of  his  own  ;  that  he  assured 
them  that  it  is  God  alone  who  heals,  acting  through  the  human  mind ; 
that  all  he  did  was  to  engage  in  silent  prayer  for  them,  and  to  endeavor  to 
turn  their  thoughts  to  God,  and  toward  the  attainment  of  pliysical  perfec- 
tion ;  that  the  efforts  made  for  them  were  precisely  the  same  in  character 
as  those  which  he  makes  for  his  congregation  at  the  public  services  of  his 
church  ;  that  he  does  not  practice  medicuie  nor  attempt  to  cure  disease  ; 
that  he  has  no  knowledge  of  medicine  or  surgery;  that,  as  a  Christian 
Scientist,  he  never  recommended  to  anyone  a  course  of  physical  treat- 
ment ;  that  he  has  only  the  method  of  prayer,  and  effort  to  encourage 
hopefulness  for  all  who  come  to  him  in  public  or  private,  and  whatever 
disease  they  imagine  they  have  ;  and  that  his  ministrations  often  can  be, 
and  are,  rendered  as  effectively  in  tiie  absence  as  in  the  presence  of  the 
beneticiary. 

Other  witnesses  were  called,  but  there  was  no  material  variance  in  the 
testimony,  except  that  the  witnesses  Hall  and  \'aughn  testified  that  the 
defendant  said  that  he  was  Doctor  Mylod,  wliicli  testimony  was  contra- 
dicted by  the  defendant. 

The  constitutional  question  raised  by  the  defendant  is  that,  under  ^^3, 
Art.  1,  Const.  R.  I.,  which  secures  to  him  religious  freedom,  he  has  a  right 
to  perform  the  acts  shown  by  the  testimony  to  iiave  been  performed,  and 
that,  therefore,  said  cai).  105,  (Jen.  Laws  li.  I.,  under  wliicli  said  complaint 


156  STATE    BOARD    OF    HEALTH.  [1899. 

was  made,  is  unconstitutional  if,  and  in  so  far  as,  it  provides  a  penalty  for 
the  performance  of  said  acts. 

This  question,  properly,  cannot  be  considered  by  the  court  unless  said 
cap.  165  is  sufficiently  broad  to  include  within  its  prohibitive  provisions 
the  acts  of  the  defendant ;  for  the  defendant  cannot  question  the  consti- 
tutionality of  said  chapter  unless  his  rights  would  be  affected  by  its  en- 
forcement.    State  V.  Snoiv,  3  R.  I.  64. 

There  is  no  testimony  tending  to  show  that  the  defendant  practiced  or 
attempted  to  practice  surgery,  or  that  he  made  any  diagnosis  or  examina- 
tion to  ascertain  whether  the  witnesses  Hall  and  Vaughn  were  suffering 
from  disease,  or  that  he  administered  or  prescribed  any  drug,  medicine,  or 
remedy,  or  that  he  claimed  any  knowledge  of  disease  or  the  proper  reme- 
dies therefor. 

Upon  the  testimony,  the  only  claim  that  can  be  made  by  the  State  is 
that  iipon  a  card  handed  to  one  of  the  witnesses  appeared  the  name  and 
office  hours  of  the  defendant ;  that  the  defendant  said  he  was  Doctor 
Mylod  ;  that  he  offered  silent  prayer  for  the  witnesses  Hall  and  Vaughn, 
who  claimed  to  be  suffering  from  disease  ;  that  he  gave  said  witnesses 
each  a  book  in  which,  presumably,  the  principles  of  Christian  science  were 
taught,  explained,  and  defended  ;  that  he  told  the  witness  Vaughn,  sub- 
stantially, to  look  on  the  bright  side  of  things  and  think  of  God,  and  it 
would  do  him  good  ;  and  that  he  accepted  compensation  for  his  services. 

Did  these  acts  of  the  defendant  constitute  the  practice  of  medicine,  in 
violation  of  cap.  165,  Gen.  Laws  R.  I.? 

It  is  the  duty  of  the  court  to  give  effect  to  the  intention  of  the  law- 
making power  as  embodied  in  the  statutes.  The  legislature  is  presumed 
to  mean  what  it  has  plainly  expressed,  and  when  it  has  so  expressed  its 
meaning,  construction  is  excluded.  It  is  only  when  the  meaning  of  the 
statute  is  obscure,  or  the  words  employed  are  of  doubtful  meaning,  that, 
in  order  to  give  effect  to  the  legislative  intention,  the  duty  of  construction 
arises.  In  the  construction  of  penal  statutes,  a  well-established  rule  is 
that  words  and  phrases  must  be  taken  in  their  ordinary  acceptation  and 
popular  meaning,  unless  a  contrary  intent  appears.  While  the  words  of . 
such  statutes  are  not  to  be  restricted  in  meaning  within  the  narrowest 
limits,  neither  are  they  to  be  extended  beyond  their  common  interpreta- 
tion ;  and  if  there  is  a  reasonable  doubt  as  to  whetlier  the  acts  done  are 
within  the  meaning  of  the  statute,  the  party  accused  of  its  violation  is  en- 
titled to  the  benefit  of  that  doubt.    Endlich  on  Int.  of  Statutes  §§  329,  330. 

It  follows,  therefore,  that  the  acts  complained  of  are  excluded  from  the 
operation  of  said  cap.  165  unless  the  words  "practice  of  medicine,"  taken 


1809.]  skcretary's  rkport.  157 

in  their  ordinary  or  popular  nicaniiiff,  include  them,  or  unless  it  apitcars 
from  said  e]iai)ter  that  the  lej;islative  intent  was  to  fjive  to  said  \V(irds  a 
nicaiiiii^'  l)niader  and  more  inehisivc  lliau  tiic  pupular  one. 

Medicine,  in  tlie  popular  sense,  is  a  remedial  substance.  The  practice  of 
medicine,  as  ordinarily  or  popularly  understood,  has  relation  to  the  art  of 
preventing:,  curlns",  or  alleviating  disease  or  pain.  It  rests  largely  in  the 
sciences  of  anatomy,  physioloo;y,  and  hys'ioie  ;  it  recjuires  a  knowledge  of 
disease,  its  origin,  its  anatomical  and  physiological  features,  and  its  causa- 
tive relations  ;  and,  further,  it  requires  a  knowledge  of  drugs,  their  prepa- 
ration and  action.  Popularly  it  consists  in  the  discovery  of  the  cause  and 
nature  of  disease,  and  the  administration  of  remedies  or  the  prescribing 
of  treatment  therefor. 

I'rayer  for  those  suffering  from  disease,  or  words  of  encouragement,  or 
the  teaching  that  disease  will  disappear  and  physical  perfection  be  at- 
tained as  a  result  of  prayer,  or  that  humanity  will  be  brought  into  har- 
mony with  God  by  right  thinking  and  a  fixed  determination  to  look  on 
the  bright  side  of  life,  does  not  constitute  the  practice  of  medicine  in  the 
popular  sense. 

The  State,  however,  contends  that  said  cap.  165,  taken  as  a  whole,  indi- 
cates a  legislative  intention  to  give  to  the  w^ords  "  practice  of  medicine  " 
a  meaning  broader  than  the  popular  one.  In  support  of  this  contention  it 
calls  attention  to  the  provision  contained  in  section  8  of  said  chapter, 
that  "  To  open  an  office  for  such  purpose,"  that  is,  for  the  practice  of  med- 
icine or  surgery,  "or  to  announce  to  the  public  in  any  other  way  a  readi- 
ness to  practice  medicine  or  surgery  in  this  State,  shall  be  to  engage  in  the 
practice  of  medicine  within  the  meaning  of  this  chapter."  In  view  of  this 
provision,  the  State  contends  that  to  practice  medicine  it  is  not  necessary 
to  use  internal  or  other  remedies,  nor  to  make  diagnoses,  nor  to  have  a 
patient,  but  that  the  opening  of  an  oHice  for  the  practice  of  medicine,  or 
the  announcement  of  a  readiness  to  engage  in  such  jiractice,  constitutes  a 
practice  of  medicine  ;  and,  therefore,  as  the  statute  applies  not  only  to 
those  who  actually  practice,  but  also  to  those  who  announce  in  any  way  a 
readiness  to  practice,  the  State  contends  that  the  legislature  intended  to 
give  a  broader  than  the  gcMicraily  accepted  meaning  to  the  words,  "prac- 
tice of  medicine." 

We  are  unable  to  agree  witli  tliis  contention,  ^^■itllout  passing  upon  the 
provision  referred  to,  and  whatever  its  signiru-ance,  it  certainly  cannot  be 
construed  to  broaden,  in  a  general  sense,  tlu^  meaning  of  the  words  "prac- 
tice of  medicine."  The  most  that  can  be  claimed  for  it  is  that  it  oiierates 
to  broaden  the  offence  created  by  saiil  cap.  in.".,  so  that  the  attempt  or  the 


158  STATE    BOAKD    OF   HEALTH.  [1899. 

announcemeMt  of  a  readiness  to  practice  medicine  becomes  equivalent  to 
the  actual  practice. 

The  State  further  calls  attention,  in  support  of  its  contention,  to  section 
6  of  said  chapter,  which  provides  that  "nothing  in  this  chapter  shall  be  so 
construed  as  to  discriminate  against  any  particular  school  or  system  of 
medicine,"  and  it  argues  that,  as  the  statutory  prohibition  relates  to  the 
practice  of  medicine  "  in  any  of  its  branches,"  and  that  as  certain  dis- 
eases, such  as  insanity  and  nervous  prostration  are  treated  by  the  so-called 
"regular  school"  without  the  use  of  drugs,  and  that  as  all  schools  recog- 
nize the  study  of  mental  conditions  as  affecting  bodily  health  as  forming 
a  distinct  branch  of  medicine,  the  legislative  intention  to  give  to  the 
words  "practice  of  medicine  "  a  construction  sufficiently  broad  to  include 
the  practice  of  Christian  science  is  clearly  manifest. 

The  words  of  the  provision  against  discrimination,  like  the  words  "prac- 
tice of  medicine,"  must  be  taken  in  their  ordinary  sense  and  meaning. 
It  is  a  matter  of  common  knowledge  that  among  medical  men  there  are 
defined  differences  regarding  the  treatment  of  diseases.  These  differences 
have  resulted  in  different  schools  or  systems  of  medicine.  A  recognition 
of  the  existence  of  such  differences,  however,  does  not  broaden  the  mean- 
ing of  the  words  "practice  of  medicine"  to  include  the  practice  of  that 
which,  in  the  popular  sense,  is  not  a  practice  of  medicine.  Neither  does 
the  statutory  reference  to  the  practice  of  medicine  "in  any  of  its 
branches"  affect  the  meaning  of  the  words  in  question.  While  it  is  true 
that  the  study  and  treatment  of  mental  disease  constitute  one  of  the'  de- 
partments or  branches  of  medicine,  in  which  the  influence  of  the  mind 
over  the  body  is  recognized,  yet  mere  words  of  encouragement,  prayer  for 
divine  assistance,  or  the  teaching  of  Christian  science  as  testified,  in  the 
opinion  of  the  court,  does  not  constitute  the  practice  of  medicine  in  either 
of  its  branches  m  the  statutory  or  popular  sense. 

To  give  to  the  words  "practice  of  medicine"  the  construction  claimed 
for  them  by  the  State,  in  the  opinion  of  the  court  would  lead  to  unintended 
results.  The  testimony  shows  that  Christian  Scientists  are  a  recognized 
sect  or  school.  They  hold  common  beliefs,  accept  the  same  teachings, 
recognize  as  true  the  same  theories  and  principles.  If  the  practice  of 
Christian  science  is  the  practice  of  medicine.  Christian  science  is  a  school 
or  system  of  medicine,  and  is  entitled  to  recognition  by  the  State  Board  of 
Health  to  the  same  extent  as  other  schools  or  systems  of  medicine.  Un- 
der said  cap.  165  it  cannot  be  discriminated  against,  and  its  members  are 
entitled  to  certificates  to  practice  medicine,  provided  they  possess  the 
statutory  qualifications.    The  statute,  in  conferring  upon  the  State  Board 


18'.>0.  I  SECJIETAKY's    KKl'UllT.  15!^» 

of  Tlciiltli  authority  to  pass  upon  the  (lualilication  of  ai)plicants  for  sudi 
I'crtilicatt's,  docs  not  confer  upon  said  l)oard  arl)ilrary  ])i»\ver.  'I'lio  board 
cannot  di'Lcniiiiii'  which  sciiool  or  system  (tf  nu-dicinc,  in  its  theories  and 
practices,  is  rigiit ;  it  can  only  determine  wlietiier  the  applicant  i)ossesses 
the  statutory  (pialilication  to  practice  in  accordance  witli  the  recognized 
theories  of  a  particular  school  or  system.  It  would  lie  altsuid  to  iiold  that 
under  said  cap.  Ki."),  which  provides  against  discrimination,  the  re(iuire- 
ments  necessary  to  entitle  an  applicant  to  a  certilicate  were  such  that  the 
members  of  a  particular  school  or  system  could  not  comply  with  them, 
thus  adopting  a  construction  wiiich  would  operate  not  as  a  discrimination 
only,  but  as  a  prohibition.  On  the  other  hand,  to  hold  that  a  person  who 
does  not  know  or  pretend  to  know  anything  about  disease,  or  about  the 
method  of  ascertaining  the  presence  or  the  nature  of  disease,  or  about  the 
nature,  preparation,  or  use  of  drugs  or  remedies,  and  who  never  adminis- 
ters them,  may  obtain  a  certificate  to  practice  medicine,  is  to  hold  that 
the  operation  of  the  statute  is  to  defeat  the  beneficial  purposes  for  which 
it  was  enacted. 

The  cases  cited  by  the  .State  do  not  sustain  its  contention.  In  Kehon 
V.  Harrinfjton,  72  Wis.  591,  the  plahitiff  brought  suit  agauist  the  defend- 
ant, who  w^as  a  clairvoyant  physician,  to  recover  damages  for  alleged  un- 
skillful treatment.  In  testimony,  it  appeared  that  the  defendant  held 
himself  out  as  a  healer  of  disease  and  accepted  compensation  ;  that  he 
determined  the  nature  of  the  disease  for  which  he  treated  the  plaintiti,  and 
the  character  of  the  remedies  he  administered,  while  in  a  mesmeric  state 
or  trance  condition.  The  court  held  that  the  defendant  was  bound  to 
exercise  reasonable  skill,  and  that  the  knowledge  of  the  plaintiff  of  his 
methods  was  no  defence  to  the  action. 

In  Bibber  v.  Simpson,  59  Me.  181,  which  was  an  action  brought  to  recover 
compensation  for  services,  the  opinion  of  the  court  is  as  follows:  "The 
services  rendered  were  medical  in  their  character.  True,  the  plaintift'  does 
not  call  herself  a  physician,  but  she  visits  her  sick  patients,  examines  their 
condition,  determines  the  nature  of  the  disease,  and  prescribes  the  reme- 
dies deemed  by  her  most  appropriate.  AVhether  the  plainlill  calls  herself 
a  medical  clairvoyant,  or  a  clairvoyant  physician,  or  a  clear-seeing  physi- 
cian, matters  little  ;  assuredly  such  services  as  the  plaintilf  claims  to  have 
rendered  purport  to  be,  and  are  to  be  deemed,  medical,  anil  are  within  the 
clear  and  obvious  meaning  of  11.  S.  isTl,  c  i:3,  ^^ ;;,  which  provides  that  '  no 
person  except  a  physician  or  surgeon,  who  commenced  prior  to  February 
10,  18:31,  or  has  received  a  medical  degree  at  a  public  medical  institution  in 
the  United  States,  or  a  license  from  the  Maine  Medical  Association,  shall 


160  STATE    BOARD    OF    HEALTH.  [1899. 

recover  any  compensation  for  medical  or  surgical  services,  miless  previous 
to  sucli  services  he  had  obtained  a  certificate  of  good  moral  character  from 
the  municipal  officers  of  the  town  when  he  then  resided.'  The  plaintiff 
has  not  brought  herself  within  the  provisions  of  this  section  and  cannot 
maintain  this  action." 

In  Wheeler  v.  Sawyer,  Atl.  Rep.  67  (Me.  1888),  the  plaintiff,  a  Christian 
Scientist,  brought  suit  to  recover  for  services.  Cap.  13,  §  9,  li.  S.  (Me.) 
1888,  is  the  same  as  cap.  13,  §  3,  R.  S.  1871,  except  that  it  does  not  relate 
to  physicians  and  surgeons  practicing  prior  to  February  16,  1831.  The 
plaintiff  had  received  the  certificate  of  good  moral  character  required  by 
the  statute.  The  court  said  :  "We  are  not  required  here  to  investigate 
Christian  science.  The  defendant's  intestate  chose  that  treatment.  There 
is  nothing  unlawful  or  immoral  in  such  a  contract.  Its  wisdom  or  folly  is 
for  the  parties,  not  for  the  court  to  determine." 

In  State  v.  Buswell,  40  Neb.  158,  the  defendant  was  indicted  for  the  un- 
lawful practice  of  medicine.  In  Nebraska,  Laws  of  1891,  cap.  35,  the 
practice  of  medicine,  surgery,  and  obstetrics  is  prohibited  except  by  per- 
sons possessing  certain  qualifications.  Section  17  of  said  cap.  35,  in  part, 
is  as  follows  :  "  Sec.  17.  Any  person  shall  be  regarded  as  practicing  medi- 
cine within  the  meaning  of  this  act  who  shall  operate  on,  profess  to  heal, 
or  prescribe  for  or  otherwise  treat  any  physical  or  mental  ailment  of 
another."  The  defendant  was  a  Christian  Scientist,  and  the  evidence 
against  him  upon  which  the  State  relied  was  similar  in  character  to  that 
in  the  case  under  consideration.  The  trial  court  instructed  the  jury  that, 
in  order  to  convict  the  defendant,  they  must  find  that  the  defendant  had 
practiced  medicine,  surgery,  or  obstetrics,  as  those  terms  are  usually 
and  generally  understood,  and  the  State  excepted. 

The  Supreme  Court,  in  sustaining  the  exception,  uses  the  following  lan- 
guage :  "  Governed  by  the  instruction,  the  jury  could  not  do  otherwise 
than  to  acquit,  for  there  was  no  proof  to  meet  its  requirements." 

Again  :  "The  statute  does  not  merely  give  anew  definition  to  language 
having  already  a  given  and  fixed  meaning.  It  rather  creates  a  new  class 
of  offences,  in  clear  and  unambiguous  language,  which  should  be  inter- 
preted and  enforced  according  to  its  terms." 

Again:  "Under  the  indictment  the  sole  question  presented,  upon  the 
evidence,  was  whether  or  not  the  defendant,  within  the  time  charged,  had 
operated  on,  or  professed  to  heal  or  prescribe  for,  or  otherwise  treated, 
any  physical  or  mental  ailment  of  another." 

The  decision  of  the  Nebraska  court,  therefore,  is  that  while  the  practice 
of  Christian  science  is  not  a  T)ractice  of  medicine  as  those  terms  usually 


ISlC).  I  SKCRKIAKY  S    RKl'OKT.  I  li  I 

and  gfiH'iallv  arc  uiKlrislood,  ycL  that,  iiikKt  tlin  sccliun  h1»<ivc  (iiiotcd, 
the  practice  n\'  Christ  iaii  science,  l)einfj:  ;i  tieiituient  for  pliysical  or  mental 
aihncnts,  is  a  violalion  id'  llic  law. 

Ill  Missonri.  the  statnte  recpiires  that  i)ef()re  a  person  may  lawtnlly 
practici'  medicine  or  sururcry  he  must  lile  a  <'oi)y  of  iiis  diploma  with  the 
clerk  (d'  llic  CDiiiity  ('(uirl.  and  it  fiirtlin-  provi(h^s{H.  S.  sWi;!0-l)  that  any 
person,  not  (lualilied,  wiio  sliall  jiractice  medicine  or  sursjery  shall  not  be 
IH'rmitted  to  receive  compensation  for  services  rendered,  "as  any  such 
l)hysician  or  surcfeon." 

In  Ddvidson  v.  Bolilmaii,  o7  Mo.  App.  570,  the  i)laintiff  having  bronght 
suit  to  recover  for  services,  the  question  raised  was  whetlier  the  services 
wtM-f  ])('rf()rmed  by  the  ]>laintiff  as  a  physician.  Tiic  idniiitilT  jiad  jiracticed 
medicine,  lawfully,  for  nearly  thirty  years,  first  as  an  allopathic  physician, 
and  later  as  an  electric  ])hysician  :  he  had  a  diploma  from  an  electric  med- 
ical ('(dles'e,  but  bad  failed  to  (lie  a  copy  of  it,  as-  required  by  law  ;  the 
services  for  which  he  claimed  comi)ensation  consisted  of  electrical  treat- 
ment :  the  bill  for  services  furnished  the  defendant  described  the  plaintiff 
as  "Dr.  'r.  1*.  Davidson,"  and  the  ])laintiff  called  a  medical  practitioner  to 
testify  to  the  value  of  the  services  hi  question.  The  Court  of  Appeals,  upon 
the  testimony,  held  that  the  services  w^ere  performed  by  the  plaintiff  as  a 
physician,  and  that,  not  being  qualified  to  practice,  he  could  not  recover. 

The  assum])tion  of  the  title  of  "doctor,"  if  defendant  assumed  such 
title,  was  not  unlawful.  Cap.  165  does  not,  in  terms,  prohibit  the  use  of 
the  word  "doctor"  by  any  person,  whatever  his  business  or  profession 
may  be.  Its  use  is  entirely  immaterial,  in  any  case,  luiless  mider  such 
conditions  or  circumstances,  or  in  such  coiniection,  that  it  may  serve  as  an 
announcement  or  indication  of  a  readiness  to  engage  in  tjie  practice  of 
medicine*  or  surgery. 

The  object  of  the  statute  in  (|uestion  is  to  secure  the  safety  and  protect 
the  health  of  the  public.  It  is  based  upon  the  assun!i)tion  that  to  allow 
incompetent  ix'rsons  to  determine  the  nature  of  disease,  and  to  jirescribe 
remedies  therefor,  would  result  in  injury  and  loss  of  life.  To  jirotect  the 
l)ublic,  not  from  theories,  but  from  the  acts  of  incomix'tent  i)ersons,  the 
legislature  has  prescribed  the  (|iialilical  ions  of  those  who  may  be  entitled 
to  i)erform  tla-  important  diitii'S  of  ini'dical  jtraclif  ioners.  The  statute  is 
not  for  the  i)uriiose  of  compidling  persons  sufiering  from  disease  to  resort 
to  remedies,  but  is  designed  to  secui'e  to  those  desiring  remedies  com- 
petent pliysicians  to  prepare  and  administer  tiiem.  See  Sniith  v.  Lane,  '24 
II un.  (01  X.  Y.)  (-.32. 

The  opinion  of  the  Courtis  that  tlie  words  "practice  of  medicine"  as 
•ii 


162  STATE    BOARD    OF    HEALTH.  [1899. 

used  in  Gen.  Laws  R.  I.  cap.  16.5,  must  be  construed  to  relate  to  the 
practice  of  medicine  as  ordinarily  and  popularly  understood,  and  that  the 
acts  of  the  defendant  do  not  constitute  a  violation  of  said  chapter.  The 
court,  therefore,  cannot  properly  pass  upon  the  constitutional  question 
raised,  for  the  rights  of  tlie  defendant  would  not  be  affected  by  any  con- 
clusion to  which  the  court  might  arrive. 

STATE  vs.  DAVID  ANTHONY. 

Providj:nce— July  18,  1898. 

Present  :    Matteson,  C.  J.,  Stiness,  Tillinghast,  Wilbur,  Rogers,  Douglas, 

and  Bosworth,  J.  J. 

The  practice  of  "Christian  science"  by  one  who  has  not  complied  witli 
the  provisions  of  Gen.  Laws  R.  1.  cap.  165,  is  not  an  unlawful  practice 
of  medicine  ;  and  hence  in  a  complaint  against  him  tliereunder,  he  can- 
not attack  the  constitutionality  of  said  chapter. 

Complaint  charging  the  unlawful  practice  of  medicine.  Certified  from 
a  District  Court,  and  heard  on  constitutional  questions. 

Pee.  Curiam.  The  defendant,  who  is  a  Christian  Scientist,  was  adjudged 
probably  guilty,  by  the  District  Court  of  the  Sixth  .Judicial  District,  of  the 
unlawful  practice  of  medicine,  in  violation  of  cap.  16.5,  Gen.  Laws  R.  I. 
The  defendant  claims  that  said  cap.  165,  so  far  as  it  relates  to  the  acts 
complained  of,  is  in  violation  of  Art.  1,  §  3,  Const.  R.  I.  The  evidence 
upon  which  he  was  adjudged  guilty  showed  a  practice  of  Christian  science, 
and,  substantially,  was  like  that  set  forth  in  the  opinion  of  the  court  in 
State  V.  Mylod,  ante,  262.  The  testimony  fails  to  show  any  violation  of 
said  cap.  165.  Said  chapter  does  not  relate  to  the  acts  of  the  defendant, 
and,  therefore,  he  cannot,  in  this  proceeding,  attack  its  constitutionality. 

See  opinion.  Stale  v.  Mylod. 

STATE  vs.  HENRY  S.  TAFT. 

Providence — July  18,  1898. 

Present  :    Matteson,  C.  J.,  Stiness,  Tillinghast,  Rogers,  Douglas,  and  Bos- 
worth, J.  J. 

Practice  of  the  art  of  "metaphysical  healing,"  for  reward,  without  regis- 
tration and  license,  is  not  a  violation  of  Gen.  Laws  R.  I.  cap.  165,  and 
the  question  of  the  constitutionality  of  the  act  is  not  open  to  a  defend- 
ant in  a  complaint  thereunder  when  the  evidence  shows  only  the  prac- 
tice of  such  art. 


1899.1  SIX  ur.rAitv''s   kki-out.  Hjy 

('oMri.AiNT  cliai'^iiiLr  tlic  uiil.iwriil  iJracticc  (tf  mt'dicinc.  Ccrlilicd  from 
a  District  ("miit,  and  licani  on  cunstitutioiial  (lut'stioiis. 

I'Ki:  Ci  iMA.M.  Tlir  (Irrciidaiit  was  adj iidi^fd  piohaldy  .>,Miiity,  Ijy  tlie  Dis- 
trict Court  of  the  Sixtli  Judicial  District,  (da  violation  of  fap.  Ki.'j,  (ieii. 
Laws  H.  I.,  "of  the  practice  of  medicine."  The  defendant,  who  is  a  be- 
liever in  metaphysical  healing,  claims  that  said  chapter,  so  far  as  it  relates 
to  the  acts  complained  of,  is  in  violation  of  Art.  1,  $  8,  Const.  R.  I. 

Although  the  testimony  differs  somewhat  in  character  from  that  in  Stale 
V.  Mi/lod,  ante,  ();32,  and  State  v.  Anthony,  ante,  (544,  it  fails  to  show  that 
the  defendant,  in  the  statutory  sense,  was  guilty  of  an  unlawful  practice 
of  medicine.  This  being  so,  the  constitutional  question  is  not  before  the 
court. 

See  oi)iiiioii.  Stale  v.  ^f!/lod. 


APPENDIX. 


A  EEPOET  OF  A  FOUR  MONTHS'  TEST  OF  A  MECHANICAL 
FILTER  PLANT  AT  EAST  PROVIDENCE,  R.  I. 


BY   GARDNER   T.  SWARTS,  M.  D.,* 
Secretaky  State  Board  of  Health,  Providence,  R    I. 


I  desire  to  report  tlie  result  of  a  test  of  a  mechanical  filtration 
plant,  located  at  East  Providence,  in  the  State  of  Rhode  Island : 

The  supply  of  a  portion  of  this  town  is  taken  from  the  Ten 
Mile  river,  which  is  a  stream  of  about  twelve  miles  in  length.  It 
rises  in  the  State  of  Massachusetts,  and  has  on  its  borders  several 
towns  and  a  larg-e  number  of  jewelry  manufactories,  woolen  mills, 
and  dye  houses.  The  wastes  from  all  of  these  deliver  directly 
into  the  river,  and  the  river  receiving'  the  wastes  from  a  popula- 
tion of  3,700. 

It  was  impossible  for  the  State  of  Rhode  Island  to  require  a 
discontinuance  of  the  pollution  of  the  river,  and  the  State  of 
Massachusetts  apparently  had  no  authority  in  the  matter.  A 
civil  suit,  broug-ht  by  the  water  company,  ag-ainst  each  polluter, 
would  be  the  only  means  of  enjoining-  ag-ainst  pollution.  This 
would  not  only  be  expensive,  but  would  require  years  of  litigation 
before  final  removal  of  every  source  of  pollution.  It  was  there- 
fore necessary  that  some  immediate  action  be  taken  and  the  sup- 
j)ly,  with  its  pumping  station  and  mains,  condemned  and  aban- 
doned, or  the  water  purified,  as  far  as  practicable,  before  deliver- 
ing the  supply  to  the  consumers. 

Upon  request  of  the  management  of  the  company  for  advice 
from  the  State  Board  of  Health,  the  mechanical,  or  American, 
filtration  method  was  recommended.     This  advice  was  given  in 

*  Paper  read  before  the  Americaa  Public  Health  Association,  October  31,  and  November 
1,  2  and  3,  1899,  at  Minneapolis,  Minn. 


P  Mfg.  Co. 
X  IS  and  gallon 
FilLei-    riant. 


Water  Co. 


,JCVA.TION. 


C  Sedime.  in 

D  Filter  Be  a 

A  Supply  to  rih.en 

B  Wash  to  Filter. 

E  Outlet  for  Filtered  Water. 

H  Controller  for  reijulatma^  discharge  c 

Water,  C Butterfly  Valve  notshownJ    = 
J  Suction  Pipe  for  Wash  Pump.  — 

K  Pump  for  washing'  Filter  Bed. 
M  Float  Tank  to  rejulate  supply  to  Filtci 
T  A^^itatmy  Apparatus. 

V  Chemical  Tank 

V  Aluin  Feed  Pump. 
W  AKirri  Feed  Pipe  to  Filter 
X  Propeller  for  operating  Alum  Fcev-  Pv;i  — 

V  Supply  Pipe  for  Alum  Feed  Pvn  ; 


^T 


m 


m 


%y- 


New  Yoi-k  Filter  Mfg.  Co. 

Five  Hundi^ed.  Thocisana  gallon 

Jewell   Gi-avity    Filter-    IMarit. 

-^    of    t.h=     — 

East  Providence    Water  Co. 


1899.]  SfeCRbTAKY*S    KEPOK'r.  l66 

preference  to  the  use  of  tlie  natural  sand  bed  filtration  on  account 
of  the  location  of  the  pumpiug-  station ;  the  necessity  of  coverino' 
the  beds  in  this  climate,  which  would  add  materially  to  the 
original  cost ;  for  the  purpose  of  removing-  completely  the  coloring* 
matter  which  was  found  in  the  supply,  and  from  the  satisfactory 
and  perfect  control  and  celerity  of  cleansing-  to  be  found  in  the 
mechanical  form  of  filtration. 

The  ]3lant,  w^hile  not  a  larg-e  one,  yet  consists  of  one  initial  of 
the  type  known  as  the  "  Jewell  Gravity  Filter,"  and  supplied  by 
the  New  York  Filter  Manufacturing-  Company,  of  New  York. 

In  case  a  larg-er  supply  was  required,  it  would  be  only  necessary 
to  repeat  this  initial  size  of  filter  indefinitely,  therefore,  the  work 
of  one  initial  would  be  the  same  as  a  number,  although  the  water 
company,  at  the  present  time,  is  supplying-  but  200,000  g-allons  of 
water  to  its  consumers.  The  daily  capacity  of  the  filter  is  avail- 
able to  500,000  gallons  at  the  rate  of  filtration  of  125,000,000 
gallon  per  acre  per  24  hours. 

The  tests  covered  a  period  of  about  144  days,  or  four  months, 
and  the  operation  of  the  filter  was  under  the  charge  of  the  regular 
pumping  engineer  of  the  water  company.  The  quantities  of 
sulphate  of  alumina  used  were  weighed  out  by  him  under  advice 
of  Mr.  E.  B.  Weston,  C.  E.,  who  also  planned  and  superintended 
the  construction  of  the  whole  plant. 

The  chemical  analyses  in  the  test  were  made  by  Prof,  John 
Howard  Appleton,  of  Brown  University. 

The  bacterial  analyses,  as  well  as  the  determination  of  color  and 
alkalinity,  were  made  by  the  writer. 

The  precipitant,  or  coagulaut,  or  chemical  used  throughout  the 
test  was  sulphate  of  alumina,  which  was  dissolved  in  the  propor- 
tions of  one  part  of  sulphate  of  ahimina  in  about  20  parts  of 
filtered  water.  This  solution  was  made  about  twenty-four  ho'urs 
before  being  used,  the  supply  for  the  day's  run  being  taken  from 
a  second  tank  in  which  the  alumina  had  been  dissolved  the  day 
before. 

The  sulphate  of  alumina  used  contained  about  22  per  cent,  of 


l66  STATE    BOARD    OF   HEALTH.  [1899. 

alumina  (AL.2O3),  except  from  March  lOtli  to  lltli,  inclusive;  from 
June  1st  to  7tli,  inclusive,  and  from  June  27tli  to  28tli,  inclusive, 
when  an  inferior  and  cheaper  grade,  containing  about  17.53  per 
cent.,  was  used.  The  object  in  using-  this  inferior  grade  was  to 
determine  if  the  same,  or  increased,  quantities  of  sulphate  of 
alumina  might  not  give  equally  good  results  with  less  cost.  It 
was  found,  however,  that  the  increase  in  quantity  brought  the 
expense  to  equal  the  cost  of  smaller  quantities  of  the  expensive 
sulphate  of  alumina,  the  maximum  efficiency  depending  upon  the 
amount  of  the  alumina  (AL2O3)  in  the  applied  chemical. 

Sulphate  of  alumina  was  added  to  the  raw  water  at  the  rate  of 
one  grain  per  gallon,  except  from  March  lOtlito  11th;  March  20th 
to  25th,  and  from  May  Ist  to  6tli,  when  0.75  of  a  grain  was  used ; 
March  27th  to  30th,  when  0.6  was  used,  and  from  June  22d  to 
28th,  when  1.25  grains  were  used.  These  variations  were  naturally 
made  to  determine  the  minimum  amount  of  the  applied  chemical 
which  would  give  maximum  efficiency. 

The  average  removal  of  bacteria  during  the  test,  including  the 
use  of  the  inferior  grades  and  the  increased  quantity  of  sulphate 
of  alumina,  was  98.7  per  cent.  The  average  removal  of  bacteria 
was  99.2  per  cent,  during  the  time  when  one  grain  of  sulj^hate  of 
alumina  of  the  higher  grade  which  contained  22  per  cent,  of 
alumina  (AL2O3),  was  used. 

Ten  per  cent,  gelatine  was  used  in  the  bacteriological  test,  and 
the  plates  ex^josed  to  ordinary  refrigerator  temperature,  the  period 
of  growth  being  from  four  to  six  days,  according  to  the  variation 
of  the  external  temperature. 

The  sample  of  applied  water  was  taken  from  the  mains  within  a 
few  feet  of  the  sediment  chamber,  the  sulphate  of  alumina  being 
introduced  by  means  of  a  (so-called)  Egyptian  pump  whose  move- 
ments were  controlled  by  a  propeller  in  the  supply  main  a  short 
distance  beyond  the  point  from  where  the  supply  was  taken. 

The  effluent,  or  filtered,  sample  was  taken  a  few  feet  distant  from 
the  outlet  of  the  filter. 


1899.]  secrktauy's  rkpokt.  167 

As  tilt'  result  of  tlir  f(mi|)nt;iti<)iis  iu.mIc  by  ^Fi'.  AN'cstim.  tlie 
eheraii'al  results  show  that  there  was: 

Six  per  ceut.  less  total  solids  in  the  liltereil  water  than  there  was 
in  the  raw  water. 

One  per  cent,  less  c-hlorine  in  the  filtered  water. 

Sixty  one  per  cent,  less  ferric  oxide  in  the  filtered  water. 

Thirty-eio-ht  per  cent,  less  aluniinic  oxide  in  the  filtered  water. 

Twenty-nine  per  cent,  less  free  ammonia  in  the  filtered  water. 

Sixty-three  per  cent,  less  albuminoid  ammonia  in  the  filtered 
water. 

Eij^hty-three  per  cent,  less  color  in  the  filtered  water. 

Twenty  per  cent,  increase  of  hardness  in  the  filtered  water. 

The  filtered  water  in  every  instance  was  alkaline. 

Attention  is  called  to  the  fact  that  the  preceding-  summary  of 
results  shows  that  the  filtered  water  contained  38  per  cent,  less 
alumina  than  did  the  raw  water  before  the  sulphate  of  alumina 
was  added  to  it. 

It  is  customary  to  uive  the  results  of  the  renioAal  of  bacteria  in 
percentages,  the  efliciency  or  removal  being-  computed  in  that  pro- 
portion. 

In  making-  a  proi)osition  for  satisfactory  filtration,  it  is  some- 
times stated  that  an  average  eiliciency  of  98  or  99  per  cent,  re- 
moval will  be  guai-anteed.  It  seems  to  the  writer  that  such  an 
indicator,  although  mathematically  correct,  is  not  fair  to  the 
operation  (^f  a  given  plant. 

As  ail  illustration,  if  the  efHuent  shows  the  presence  of  ten 
organisms  to  the  cubic  ceutiinenter  of  water  tested,  and  the  ap- 
plied water  contained  one  thousand,  an  efficiency  of  99  per  cent, 
is  attained,  but  should  there  be  but  one  more  organism  in  the 
count  of  the  efUuent,  or  eleven,  the  percentagfe  would  drop  to 
98.98  2)er  cent.,  or  below  a  guarantee  of  99  per  cent.  The  same 
drop  from  99  per  cent,  would  occur  if  there  was  one  less  organism 
in  the  applied  water,  giving  an  efficiency  of  only  98.99  ])er  cent. 

When,  as  it  sometimes  occuis,  there  is  an  increase  in  the  applied 
Avater  fi-om  the  average  of  ou^  or  two  hundred,  to  up   into   the 


168  STATE    BOARD    OF    HEALTH.  [1899. 

tliousands,  tlie  effluent  does  not  show  any  such  increase  over  the 
two  or  ten  as  the  case  may  be.  There  is  not  the  proportionate 
increase  in  the  effluent,  that  we  should  look  for,  and  yet  this  is 
not  api^arent  when  we  consider  the  results  of  percentages.  This 
is  especially  evident  when  we  study  the  filtration  of  sewage 
wastes,  where  we  deal  with  millions  in  the  applied  water  and  have 
only  hundreds  in  the  effluent,  the  efficiency  being  apparently 
exceedingly  high  when  judged  by  percentage. 

Again,  although  a  filter  may  be  giving  its  average  efficiency  in 
the  effluent,  say,  of  ten,  should  the  applied  water  drop  to  two 
hundred,  there  is  a  great  drop  in  the  efficiency  and  yet  the  water 
which  we  are  to  supply  to  the  consumer  is  of  no  worse  quality 
than  when  we  were  treating  the  filter  with  a  supply  having  a  high 
count. 

It  would  seem  fairer  and  more  satisfactory  to  speak  of  the 
efficiency  of  a  filter  as  being  one  which  will  give  an  average 
effluent  count  of  not  over  a  certain  number  under  the  conditions 
of  an  applied  water  which  shall  not  have  a  count  loAver  than  a 
certain  high  maximum.  These  conditions  would  be  more  satis- 
factorily attained  and  would  appear  more  applicable  to  the  con- 
ditions of  efficiency  than  by  comparison  of  percentages. 

Another  illustration  may  be  seen  in  cases,  where  of  two  filters, 
the  second  gives  a  lower  count  in  the  effluent  than  the  first ;  yet 
the  first  will  give  apparently  increased  percentage  of  average 
efficiency  over  the  second,  simply  on  account  of  a  large  increase 
in  the  numbers  of  the  applied  water. 

In  other  words,  all  other  requirements  being  equal,  we  should 
favor  the  process,  whatever  it  may  be,  that  is  going  to  give  us  the 
purest  water  bacteriologically,  regardless  of  the  amount  of  im- 
purity of  the  original  supply. 

It  may  be  stated  that  no  Complaint  has  been  received  from  any 
consumer  concerning  the  increase  in  hardness,  which  naturally 
comes  with  this  method  of  treatment,  but  commendation  has  been 
given  for  the  whiteness  of  the  water. 

The  apparent  increase  in  hardness  is  in  fact  more  a  matter  of 


1899  ]  sIvchktaky'.s  kki'oim.  160 

chemical  coinpntatioii  than  any  actual  cliani^e  which  can  lie  per- 
ceptible to  the  (inlinary  senses  and  i)liysi('al  functions  of  persons, 
or  which  may  be  noticeabki  to  the  proibicers  of  st(;Hm.  Shtnild 
any  objection  exist  in  tlie  use  of  this  water  for  the  production  of 
steam,  there  will  \)v  available  an  excellent  oppoiiunity  to  deter- 
mine that  fact  throus'h  the  present  use  of  the  water  in  iron  con- 
densing' vtits  in  a  certain  chemical  manufactory  which  is  attached 
to  this  supply. 

The  following-  tables  give  briefly  the  chemical  and  bacteriolog-i- 
cal  results  of  this  short  run,  under  actual  conditions  of  supply  to 
the  consumers : 


S2 


170 


STATE    BOARD    OF    HEALTH. 


[1899. 


TABLE  No.  1. 

Test  of  thk  F^ast  I'hovidkm  k  Mkchaxual  Filter. 

CIIEMICAJ.   ANALYSES  OF  SAMPLES. 

BV    I'UdKKSJrMK   .loIlN    HoWAKll    AlMM.ETON. 

liate  of  Filtration,  125,000,000  (Jalloiis  per  Acre  per  24  hours. 

'Die  numbers  express  parts  (l)y  weiglit)  in  one  million  i)arts  of   water 
(by  weight). 


Date. 


T..t«l      "^"^^ 


Chlo- 
rine. 


Keiric     A'"""- 


N.  a*  Al- 

N as 

bumi- 

N. as 

N.  us 

Free 

noid 

Ni- 

Ni- 

Ammo- 

Ammo 

trates. 

trites. 

nia. 

uia. 

l{.\w  \\'.\'iKi; 


March 

April 

xMay 


0 

3(5.4 

15.0 

3.0 

0.01 

0.1(5 

:;o 

3(i.7 

15.0 

2.1 

0.42 

1.23 

0.00 

0.14 

(5 

:!'.».(» 

1(5.0 

4.8 

0.58 

0.47 

(1.04 

0.22 

i;; 

3!  I.;; 

14.0 

7.0 

0.(50 

O.SO 

0.10 

0.2(5 

20 

3il.!t 

17.0 

(J.4 

0.(51 

1.05 

0.05 

0.20 

27 

43.7 

18.0 

(J.2 

1.00 

0.75 

0.02 

0.22 

4 

51.5 

17.0 

(i.S 

0.08 

1.(57 

0.03 

0.28 

11 

53.1 

21.0 

(5.4 

0.01 

1.84 

0.03 

0.38 

KS 

54.0 

21.0 

(i.l 

1.01 

0.34 

0.03 

0.34 

25 

4tt.(; 

20.0 

0.4 

1.00 

0.7(5 

0.04 

0.32 

0.70 
0.60 
0.(50 
0.00 
0.70 
0.70 
0.(50 
0.(50 
0.(50 
0.60 


Trace 


0 
Trace 


Fl  LTEK  EI>   W ATEK. 


March 

•1 

32.2  1 

17.0 

" 

30 

30.7 

18.0 

April 

(5 

38.9 

22.0 

" 

13 

40.4 

10.0 

" 

20 

37.4 

22.0 

" 

27 

30.(5 

19.0 

May 

4 

40.5 

22.0 

" 

11 

47.2 

23.0 

" 

18 

40.8 

23.0 

" 

25 

46.5  1 

24.0 

3.0 

4.0 

0.18 

4.8 

0.61 

6.0 

0.45 

6.4 

0.28 

<5.2 

0.19 

7.7 

0.42  : 

6.3 

0.20 

.5.8 

0.13 

7.2 

0.40 

0.(J3 

(J.  97 

0.04 

0.44 

0.04 

0.55 

0.05 

l.tJ2 

0.05 

0.26 

(LOl 

1.08 
0.55 
0.47 
0.45 


0.02 
0.02 
0.03 
0.02 


0.07     0.60     Trace 
0.10      0.50 


(J.  10 
0.11 
0.10 
0.07 
(J.  11 
0.14 
(J.  12 
0.13 


0.60 
0.70 
0.(50 
0.60 
0.(30 
0.40 
0.50 
0.(50 


0 
Trace 


1899.] 


secretary's  report. 
TABLE  No.  2. 


171 


Test  of  the  East  Providence  Mechanical  JFilter. 

BACTERIOLOGICAL  AI^ALYSES  OF  SAMPLES. 

Rate  of  Filtration,  125,000,000  Gallons  per  Acre,  per  24  hours. 


Bacteria  per  cubic  cen- 
timetre. 

DATE. 

Per  cent, 
of 

Grains  of  Sulphate 

of  Alumina  per 

Raw 

Filtered 

Reduction. 

Gallon. 

Water. 

Water. 

March    lO 

954 

55 

94.24 

0.75* 

11 

480 

47 

90.21 

0.75* 

13 

768 

4 

99.48 

14 

595 

5.5 

99.08 

15 

Sterilized  filter  bed. 

16 

1299 

9 

99.31 

IT 

1257 

7 

99.45 

18 

683 

4 

99.41 

20 

658 

7 

98.94 

0.75 

21 

1888 

26 

98.62 

0.75 

22 

1044 

31 

97.03 

0.75 

23 

1.550 

37 

97.61 

0.75 

24 

3652 

51 

98.60 

0.75 

25 

•    1818 

16 

99.12 

0.75 

27 

512 

11 

97.85 

0.60 

28 

1142 

6 

99.47 

0.60 

29 

1025 

4 

99.61 

0.60 

30 

822 

16 

98.05 

0.60 

31 

782 

1.5 

99.82 

April        1 

499 

7 

98.60 

3 

636 

1.5 

99.76 

4 

628 

2 

99.68 

"            5 

545 

4 

99.27 

6 

855 

3 

99.65 

7 

1910 

19 

99.01 

"           8 

1009 

6.5 

99.36 

10 

1175 

6.5 

99.45 

11 

943 

9.3 

99.01 

12 

1443 

9 

99.38 

13 

336 

4.3 

98.73 

14 

Lost. 

4 

15 

998 

1.6 

99.84 

17 

765 

7.5 

99.02 

18 

578 

6.3 

98.91 

19 

865 

11 

98.73 

20 

546 

3 

99.45 

21 

699 

2 

99.97 

22 

359 

3 

99.17 

24 

293 

3 

98.98 

25 

697 

0.5 

99.93 

26 

724 

11 

98.48 

27 

422 

9 

97.87 

^  Inferior  grade  of  sulphate  of  alumina  having  a  relative  value  of  about  80  per  cent,  of  the 
sulphate  of  alumina  used  at  other  times. 


172 


state  boaiid  of  health. 
Table  No.  2. — Continued. 


[1899. 


Bacteria  per  cubic  cen- 

timetre. 

Per  cent, 
of 

Grains  of  Sulphate 
of  Alumina  per 

DATE. 

Raw 

Filtered 

Reduction. 

Gallon. 

Water. 

Water. 

April      28 

280 

2.5 

99.11 

1 

29 

370 

6 

98.38 

1 

May         1 

370 

4.5 

98.78 

0.75 

2 

469 

8 

98.30 

0.75 

3 

403 

13 

96.77 

0.75 

4 

289 

61 

78.89 

0.75 

"           5 

310 

6 

98.07 

0.75 

6 

316 

21 

93.35 

0.75 

8 

266 

9 

96.62 

9 

976 

3 

99.69 

10 

708 

13.5 

98-.  09 

11 

150 

5 

96.66 

12 

466 

3.5 

99.25 

13 

305 

4 

98.69 

15 

225 

1 

99.56 

16 

238 

0.5 

99.79 

17 

306 

0.5 

99.83 

18 

473 

0 

100.00 

19 

210 

0.5 

99.76 

20 

228 

1 

99.56 

22 

238 

0.5 

99.79      ' 

23 

279 

1 

99.64 

24 

228 

1 

99.56 

25 

275 

0 

100.00 

26 

270 

0.5 

99.81 

27 

185 

1 

99.46 

29 

454 

4.5 

99.01 

30 

334 

11.5 

96.56 

31 

458 

10 

97.82 

June         1 

1478 

10 

99.32 

1* 

"           2 

387 

16 

95.87 

1  * 

3 

411 

21 

94.89 

1* 

"           5 

548 

18 

96.72 

1* 

6 

434 

23 

94.70 

1* 

"           7 

587 

]0 

98.30 

1* 

8 

331 

4 

98.79 

"           9 

494 

8.5 

98.28 

10 

341 

6.3 

98.15 

12 

354 

0.3 

99.92 

13 

243 

2 

99.18 

14 

181 

0.3 

99.83 

15 

265 

1 

99.62 

16 

388 

0.6 

99.85 

17 

277 

2.5 

99.10 

19 

Lost. 

14 

20 

233 

8 

96.56 

21 

291 

4.3 

98.52 

"          22 

175 

2.3 

98.69 

■    1.25* 

23 

162 

1 

99.38 

1.25* 

*  Inferior  grade  of  sulphate  of  alumina  having  a  relative  value  of  about  80  per  cent,  of  the 
sulphate  of  alumina  used  at  other  times. 


isno. 


SKCKKTAUY  S    KKI'oUr. 

Taiu.e  No,  2.— Concluded. 


\r.\ 


Bacteriii 

H  T  cubic  cen 

DATK. 

til 

l(:iw 
Water. 

lie  tie. 

KiltiMvd 
Water, 

Per  f.Mit. 

..f 

Kfdiiclioii. 

Cirains  of  Sul|>liate 
i>f  Aliiiiiiiia  |n-r 

Ualluii. 

June       24 

27« 

2.3 

99.17 

1.25* 

2(5 

41(1 

3.3 

99.21 

1.25* 

27 

22(i 

3.(5 

98.41 

1.2.5* 

28 

242 

1.0 

99.34 

1.25* 

29 

209(j 

4 

99.81 

30 

8-19 

4     • 

99.53 

July        10 

202U 

5.G 

99.72 

11 

321 

11 

96.. 57 

12 

398 

12 

•     90.98 

10 

2(52 

20 

92.  .37 

14 

402 

.") 

98.70 

15 

148 

l.(j 

98.92 

17 

383 

5.0 

98.54 

18 

279 

0 

10(\00 

19 

225 

1.(5 

99.29 

20 

8(5 

2.3 

97.32 

21 

3(i5 

S.:] 

97.73 

' '          22 

7(54 

o 

99.01 

27 

175 

().() 

99.(50 

28 

159 

4.0 

97.11 

29 

473 

2.3 

99.51 

31 

444 

L3 

99.71 

August    1 
2 

424 
313 

1 
2 

99.70 
99.30 

*  liil'ei-ii)r  trra<le  of  sulphate  of  aUuniiia  having  a  relative  value  of  about  so  per  c-eiit.  of  the 
?ulpiiate  of  alumina  used  at  otber  times. 


lU 


STATE    BOARD    OV   HEALTH. 


[1899. 


TABLE  No.  3. 

Test  of  the  East  Providence  Mechanical  Filter. 

COLOR  OF  SAMPLES. 

Rate  of  Filtration,  125,000,000  Gallons  per  Acre  per  24  hours. 

The  unit  of  color  is  practically  that  color  yielded  by  properly  nesslerizing 
50  cubic  centimetres  of  water  containing  one  one-hundredth  of  a  milligram 
of  ammonia  gas  (or  its  equivalent). 


Grains 

of  Sulphate 

of  Alumina 

per 

Gallon. 

Grains 

DATE. 

Raw 
Water. 

Filtered 
Water. 

Date. 

Raw 
Water. 

Filtered 
Water. 

of  Sulphate 

of  Alumina 

per 

Gallon. 

March  10 

.50 

.10 

0.75* 

April  21 

.60 

.10 

1 

"      11 

.50 

.10 

0.75* 

"       22 

.60 

.10 

1 

"       13 

..50 

.10 

1 

"       24 

.60 

.10 

1 

"       14 

.50 

.10 

1 

"       25 

.60 

.10 

1 

"       15 

Sterilized  li 

Iter  bed. 

"       26 

.60 

.10 

1 

"       16 

.50 

.10 

1 

"      27 

.70 

.10 

1 

"       17 

.-50 

.10 

1 

"      28 

.70 

.10 

1 

"       18 

.50 

.10 

1 

"      29 

.60 

.10 

1 

"       20 

.50 

.10 

0.75 

May      1 

.60 

.10 

0.75 

"       21 

.50 

.10 

0.75 

!!     2 

.60 

.10 

0.75 

"       22 

.50 

.10 

0.75 

o 

.70 

.10 

0.75 

"       23 

.50 

.10 

0.75 

4 

.70 

.10 

0.75 

"       24 

.40 

.10 

0.75 

5 

.70 

.20 

0.75 

"       25 

.40 

.10 

0.75 

6 

.70 

.40 

0.75 

"       27 

.40 

.10 

0.60 

8 

.70 

.10 

"       28 

..SO 

.10 

0.60 

9 

.70 

.10 

"       29 

.40 

.10 

0.60 

"      10 

.70 

.20 

"       30 

.40 

.10 

0.60       1 

"      11 

1.00 

.10 

"       31 

.40 

.10 

1 

"      12 

1.00 

.10 

1       ' 

April      1 

.40 

.10 

1 

"      13 

.90 

.10 

3 

.40 

.10 

"      15 

.80 

.10 

4 

.40 

.10 

"      16 

.90 

.10 

5 

.40 

.10 

"      17 

.80 

.10 

6 

.40 

.10 

1             ' 

"      IS 

.80 

.10 

7 

.40 

.10 

"      19 

.70 

.10 

8 

.40 

.10 

"       20 

.70 

.10 

"       10 

..50 

.10 

"       22 

.70 

.10 

"       11 

.40 

.10 

"       23 

.60 

.10 

"       12 

..50 

.10 

"       24 

.60 

.10 

"       13 

.50 

.10 

1 

"      25 

.70 

.10 

"       14 

.50 

.10 

I 

"      26 

.60 

.10 

"       15 

.50 

.10 

"      27 

.60 

.10 

"       17 

.50 

.10 

I            \ 

"      29 

.60 

.10 

"       18 

.60 

.10 

1             j 

"      30 

.60 

.10 

"       19 

.60 

.10 

1 

"      31 

.50 

.10 

"       20 

.60 

.10 

1 

*  Inferior  grade  of  sulphate  of  alumina  having  a  relative  value  of  about  i 
sulphate  of  alumina  used  at  other  times 


per  cent,  of  the 


IM)'..'.  J 


SECUETAKYS    KEI'OKT. 


175 


TABLE  No.  4. 

Test  or  the  Kasi'  I'kon  iih.ni  i;  >[i;<  hank  ae  Fietei:. 

AI.KAIJMI  ^'  (»K  SAMI'I.IvS. 

Kiitc  (»r  I'illralioii,  liTi.doii.ooo  (ialloiis  jxt  Ac-re  [icr  lM  hours. 

('I'lif  Alkalinity  is  t'Xi)r»'sst'(l  as  Calcimn  Caiboiiate,  in  J'arts  per  1,0(M),000.) 


Grains 

DATE. 

Raw 
Water. 

Filtered 
Water 

of  Sulphate 

of  Alumina 

per 

Gallon. 

Maivl 

1    10 

(;.4 

■'  3 

U.75* 

11 

(i.O 

2.7 

0.75* 

" 

13 

5..") 

1.7 

1 

" 

14 

7.. J 

•> 

1 

" 

1.-) 

Ster 

ilized  lil 

ter  bed. 

11) 

(i.7 

1.5 

1 

17 

7 

2 

1 

" 

IS 

6.7 

2 

1 

" 

20 

6.2 

1.7 

0.75 

" 

21 

7.7 

1.5 

0.75 

" 

2'2 

6.5 

2 

0.75 

" 

23 

5.5 

1.7 

0.75 

" 

24 

0 

2 

0.75 

" 

2r> 

5.7 

1.5 

0.60 

27 

7.2 

3 

0.60 

28 

9 

4 

0.60 

" 

29 

6.5 

3 

0.60 

" 

30 

7.7 

3.5 

0.60 

" 

31 

9 

2.7 

1 

April 

1 

8.5 

3 

1 

" 

3 

9.2 

2.7 

1 

" 

4 

9.5 

3.2 

1 

" 

o 

8.7 

3.2 

1 

" 

rt 

6.5 

3 

1 

" 

7 

11 

3.7 

1 

" 

8 

10 

3.2 

1 

10 

9 

3.7 

1 

" 

11 

10.5 

3.2 

1 

" 

12 

11 

4 

1 

" 

13 

10.2 

Lost. 

1 

14 

11.5 

4 

1 

15 

11.5 

5 

1 

17 

12 

4.5 

1 

" 

18 

11 

4 

1 

4.5 


May 


April  21 


24 

25 

26 

27 

28 

29 

1 

2 

3 

4 

5 

6 

S 

9 

10 

11 

12 

13 

15 

16 

17 

18 

19 

20 

22 

23 

24 

25 

26 

27 

29 

30 

31 


Grains 

Raw 
Water. 

Filtered 
Water. 

of  Sulphate 

of  .Muniiiia 

per 

Gallon. 

11 

4.5 

1 

S.5 

4.7 

1 

14 

7- 

1 

14 

7 

1 

14 

6 

1 

14 

6 

1 

14.5 

6 

1 

13.5 

(i 

1 

14.5 

7 

0.75 

15 

,s 

0.75 

13.5 

7.5 

0.75 

15 

7.5 

0.75 

14 

6.5 

0.75 

15.5 

6.5 

0.75 

15 

6.5 

1 

14.5 

(\ 

1 

15 

() 

1 

14 

(j 

1 

14,5 

6.5 

1 

14.5 

5.5 

1 

15 

5.5 

1 

14 

5 

1 

14.5 

(i.5 

1 

14.5 

(> 

1 

14 

6 

1 

14.5 

6 

1 

14 

8 

1 

14 

6 

1 

14 

7 

1 

14 

7 

1 

15 

6 

1 

14.5 

.5 

1 

14 

5 

1 

14 

.5 

1 

14.5 

6 

1 

*  Inferior  grade  of  sulphate  of  alumina  having  a  relative  value  of  about  SO  per  oent.  of  the 
ulphate  of  alumina  used  at  other  times. 


METHODS  OF  COMPILATION  USED  IN  PREPARINO  CENSUS 
AND  REGISTRATION  REPORTS. 


BY  DK.   GARDNER  T.   SWARTS," 

Secretart,  State  Board  of  Health  of  Rhode  Island, 


Owing  to  the  increased  interest  in  vital  statistics  evinced  by  one 
of  our  western  States,  and  the  stimuhis  given  to  other  States  by 
the  zealous  agitation  of  the  subject  by  its  earnest  registrar,  I 
have  been  requested  by  the  President  of  the  Association  to 
present  such  facts  as  are  available  as  to  the  various  methods  at 
present  in  use  for  the  computation,  or  compilation,  of  the  data  to 
be  found  in  the  return,  or  certificate,  of  death. 

From  the  earliest  times,  a  record  of  successive  incidents  of  the 
same  kind  was  kept  by  means  of  markings,  and  varied  signs,  upon 
parchment,  tile,  or  stone.  The  aborigines  of  this  country  were  in 
the  habit  of  keeping  their  record  hanging  at  their  belt,  in:  the  form 
of  scalp-locks,  taken  from  their  victims,  while  the  earlier  settler 
recorded  his  mortality  statistics  of  aborigines  destroyed,  by  notches 
cut  into  the  stock  of  his  gun. 

At  the  present  time,  with  the  ready  means  afforded  by  the  use 
of  plumbago,  inks  and  paper,  the  simplest  form  of  notation  has 
been  what  is  called  "  the  dot  and  dash  system,"  a  successive  dot 
or  dash  being  set  against  each  distinct  item  that  the  data  on  the 
return  presented.  These  in  turn  are  counted,  and  the  total  set 
against  the  item.  A  variation  is  made  at  times  between  the  dot 
and  the  dash,  or  any  other  distinctive  mark,  or  check,  which  per- 

*  Paper  read  before  the- A  merioan  Public  Health  Association,  October  31,  and  November 
1,  2  and  3,  1899,  at  Minneapolis,  Minn. 


IS!)!),  I  skokktahy's  jtKroitT.  177 

mits  of  tliH  more  ready  discovery  of  tlu^  |);iiticnl;ii-  Itiiinlh;  of  if- 
tiirns  wliicli  are  successively  examined. 

One  of  the  disa(lvanta.^('S  of  tliis  system  consists  of  the  im[)(js- 
sibility  of  tlctcnniiiini;-  which  iji(li\i(iiLal  ictuni  lias  hei^n  noted 
incorrectly.  If  a  failuii^  is  made  to  place  a  dot  or  dash,  tlu;  dis- 
covery is  not  made  until  the  total  is  made  up ;  it  then  becomes 
necessary  to  do  the  work  all  over  aoain,  since  the  individual  re- 
turn which  is  omitted  cannot  be  distinguished. 

As  an  assistance,  both  in  rapidity  and  convenience,  in  recording* 
the  tally,  a  self-counting-,  or  tally  sheet,  was  devised  by  Mr.  Chas. 
F.  Pidgin,  who  has  been  connected  with  the  statistical  work  of 
the  Massachusetts  Bureau  of  Statistics  of  Labor  for  the  jjast 
twenty-nine  j^^ears,  filling-  the  position  of  chief  clerk  of  that  bureau 
since  1876.  This  sheet  consists  of  a  separate  line  for  each  item, 
the  line  consisting-  of  a  series  of  dots,  the  tejitli  dot  being-  larg-er 
and  more  distinct  that  the  previous  nine.  The  advantag-e  of  this 
form  of  tally  sheet  is  that  the  total  may  be  read  off  at  any  time 
without  counting-  up  the  number  of  dots  or  dashes.  Variations  of 
the  form  of  dot,  dash,  bracket,  or  circle  indicating-  the  tally,  may 
be  used  on  these  sheets  to  indicate  diiierent  data,  but  which  mig-lit 
be  desirable  in  connection  with  the  data  first  entered  upon  the 
same  line,  such  as  a  diiierent  district,  ward,  or  toAvn. 

This  is  more  useful  Avhen  the  number  of  returns  counted  are 
small.     It  has  the  disadvantag-e  of  any  dot  and  dash  system. 

In  the  course  of  his  association  with  statistical  work,  and  from 
his  experience  of  the  needs  of  the  forms  of  work,  Mr.  Pidg-in  has 
invented  and  introduced  many  devices  for  facilitating-  the  work  of 
comi)ilation. 

The  first  of  these  was  the  use  of  the  slip,  or  card  system,  upon 
which  the  whole  data  of  the  return  was  marked.  These  cards,  or 
slips,  were  sorted  into  boxes,  or  racks,  according  to  the  data  given 
upon  the  cards.  These  cards  could  then  be  counted,  and  if  any 
deficiency  Avas  found  in  the  total,  the  individual  pack,  or  sort, 
could  be  quickly  run  through,  and  the  missing-  or  mistaken  item 
found. 


178  STATE    BOARD    OF    HEALTH.  [1899. 

As  an  adjunct  to  the  original  Pidgin  System,  the  trays,  or  boxes, 
receiving'  the  cards  were  supplied  with  lids  which  closed  auto- 
matically, by  means  of  a  stiff  spring,  but  upon  being-  opened,  i3ress 
upon  a  counting-  dial,  thus  giving-  the  result  of  the  count  at  the 
end  of  a  sorting-.    This  did  away  with  counting-  the  cards  by  hand. 

As  a  part  of  the  original  system,  and  as  a  check  against  the  in- 
troduction of  a  wrong  card  into  the  sort,  or  boxes,  the  record  of 
the  return  was  indicated  by  holes  punched  into  the  cards  against 
the  various  data  required.  This  punching  was  done  by  means  of 
a  hand  puncher.  A  bunch  of  these  when  sorted  would  each  neces- 
sarily have  the  same  corresponding  hole,  and  a  wire  being  passed 
through  this  hole  in  the  collected  bunch,  would  meet  with  no 
resistance  unless  a  wrong  sort  had  been  made,  in  which  case  the 
oflending  card  could  be  withdrawn  and  placed  in  its  proper 
division. 

Improvement  was  next  made  upon  the  sorting  boxes,  by  intro- 
ducing into  boxes  a  simple  but  effective  counter  which  is  operated 
by  hand  when  the  cards  are  sorted  into  their  respectiye  compart- 
ments. This  form  of  machine,  called  "The  Automatic  Multiple 
Counting  or  Tabulating  Machine,"  was  devised  and  used  by  Mr. 
Pidgin  in  compiling  the  State  Census  of  Massachusetts  in  1895. 
This  machine  is  operated  directly  from  the  original  schedule,  or 
return.  It  consists  of  a  box  having  saw-tooth  slits  across  the  tin 
front.  By  lightly  pressing  a  projecting  arm,  or  wire,  a  spring 
throws  this  arm  into  the  slots  between  the  teeth.  Each  slot  has  a 
number  indicated  over  it  from  one  to  nine.  The  lowest  row  indi- 
cates units,  the  second  tens,  the  third  hundreds,  and  the  fourth 
thousands.  When  the  unit  arm  has  reached  slot  nine  it  is  thrown 
back  to  zero  with  one  sweeping  motion,  and  the  lever,  or  arms,  of 
tens  is  touched  once,  throwing  it  into  the  first  notch  of  the  tens. 
Thus,  by  the  aid  of  this  simple  device,  counts  may  be  made  as 
high  as  ten  thousand. 

A  device  called  "  The  Pin  Board  Electrical  Tabulating  System" 
was  next  produced  by  Mr.  Pidgin.  This  consists  of  a  stack  of  108 
counting  machines  which  automatically  adjust  themselves  at  zero 


1899.)  seckktaky's  report.  1'5'9 

MS  tlio  rosult  of  simjily  ]irossin.2f  a  button.  Tlipso  foniitpi's  aro 
orected  before  tlio  oporation,  aud  are  set  in  motion  by  au  elec- 
trical connection  which  is  o]ierated  from  a  pin  board.  A  card 
liaviny-  letters  or  characters  re[)resentiu.q-  the  items  to  be  recorded 
is  i)laced  over  the  pin  board',  and  the  pin  and  jiiinch  are  driven 
thrmiorh  the  card  at  the  items  indicated.  This  operation  causes 
tlie  counters  to  register  aud  at  the  same  time  ]n*oduces  the 
punched  card,  thus  accomplishiug-  two  results  with  one  motion. 

For  this  pin  board  may  be  substituted  what  Mr.  Pidgin  terms 
"The  Electrical  Typewriter  Tabulator."  The  keys  of  the  type- 
writer may  be  marked  with  transferable  labels  indicating-  the  108 
items  which  are  to  be  counted. 

This  machine  is  operated  directly  from  the  schedule,  or  return. 
This  does  away  with  the  use  of  a  card  and  with  punching-. 
Twenty -one  index  keys,  or  g-uides,  are  arranged  on  two  sides  of 
the  keyboard  which  gives  a  g-uide  to  tabulation.  By  using-  the 
index,  or  guides,  in  correlation  with  the  keys,  a  comlunatiou  of 
items  may  be  registered  by  the  pressure  of  one  key.  In  this  way 
it  is  possible  with  one  stroke  to  count  the  items  of  sex,  nationality, 
color,  conjugal  relation,  and  age  periods. 

Mr.  Pidgin  claims  that  if  this  form  of  machine  is  operated  even 
as  slowly  as  one-half  the  ordinary  speed  of  the  type^Titer,  that 
lOo  tables  may  be  made  per  minute,  or  0,300  registers  per  hour,  or 
44,100  tallies  per  day  of  seven  hours. 

A  "Multijile  Adding  or  Chip  System"  has  been  used  by  Mr. 
Pidgin  for  a  number  of  years.  This  system  is  for  adding  small 
numbers  where  a  great  number  of  totals  are  desired.  Its  capacity 
is  from  units  to  millions.  Colors  are  used  to  indicate  units,  tens, 
etc.  The  digits  are  printed  in  large  characters,  the  six  being 
distinguishable  from  the  nine.  The  operator  selects  the  card 
'numerals  from  the  case  as  a  tpye-settor  would  ])ick  his  type. 

By  this  process,  two  hundred  columns  may  be  added  at  a  time 
with  only  one  result  slip  for  the  totals.  The  chi]is  are  counted 
after  being  drawn  from  the  rack  in  which  they  are  sorted.  This 
may  be  done  bj'  using  any  of  the  counting  devices  previoush'  de- 


180  STATE   BOAED    OF    HEALTH.  [1899. 

scribed,  the  typewriter  tabulator  being-  the  most  satisfactory.  As 
the  cards  are  counted,  they  may  be  sorted  into  a  sorting-  box  near 
by  the  operator,  and  thus  be  available  at  once  for  placing  in  the 
rack  from  which  they  are  first  drawn. 

A  device  similar  in  operation  to  the  "  Pin  Board  Electrical 
Tabulating-  System,"  but  differently  constructed,  has  been  devised 
by  Mr.  Herman  Hollerith,  of  Washington,  D.  C,  and  is  known  as 
the  "  Hollerith  Electrical  Tabulating  System." 

This  system  consists  of  first  preparing  a  card  of  exact  size  and 
shape  uiDon  which  is  printed  the  numbers,  or  the  letters,  which 
shall  correspond  to  all  the  data  which  can  possibly  be  found  upon 
any  given  return  of  death  or  schedule  of  census. 

Inasmuch  as  the  causes  of  diseases,  as  well  as  occupations,  are 
exceedingly  numerous,  it  is  found  impracticable  to  represent 
each  disease  by  a  given  number,  or  sign,  but  it  is  feasible  to  indi- 
cate the  several  classes  of  causation,  and  to  indicate  by  a  specific 
number  the  sub-divisions  of  those  classes. 

By  a  specially  prepared  machine  these  numbers,  or  signs,  are 
punched  out  of  the  card  for  each  item  of  the  data  given  on  a 
single  return ;  this  card,  therefore,  represents  the  return,  reading 
in  the  form  of  punched  holes.  It  is  now  possible  to  sort  these 
cards  by  hand,  using  the  punched  holes  as  the  heading,  but  where 
the  number  is  large,  the  objection  to  the  original  Pidgin  System 
in  this  method  is  not  removed. 

The  next  detail  in  the  Hollerith  System  was  to  sort  these 
punched  cards  by  the  use  of  the  electrical  sorting  and  counting 
device.  The  punched  cards  are  placed  one  by  one,  by  hand,  upon 
a  rubber  slab  holding  as  many  small  mercury  cups  as  there  are 
indications  on  the  unpunched  card.  Above  the  slab  with  its  cups 
is  suspended  an  equal  number  of  needles,  or  wire  points.  The 
bottom  of  the  mercury  cups  are  each  individually  connected  with 
a  dial-hand  operated  by  small  electric  magnets.  The  needles  are 
individually  connected  on  the  opposite  pole  of  the  magnets.  The 
card  being  placed  on  the  rubber  slab,  the  needles  are  all  brought 
down   at  once  by   a  single  motion  of   a  lever.      Certain  of  the 


IROO.  I  SECnisTAItY's    IlKl'OKT.  ISl 

needles  will  drop  (liidiii^li  llic  puiKdicd  lioltis  in  tlie  card,  conif 
iuto  c'oiitiU't  with  tiio  iiiorcuiry  iu  tlio  cups,  thus  coinph^in^-  u  eui- 
reut  tlirousfh  tho  nias'iiet  Mdiicdi  releases  tlie  hand  on  tho  dial  one 
point. 

Eucli  time  a  current  is  made  a  register  of  one  is  recorded  on  the 
individual  dial  wliicli  corresponds  to  the  hole  iu  the  card,  which, 
in  turn,  re]iresents  a^e,  sex,  color,  conjuq-al  conditions,  etc.  "When 
the  di<^it  hand  on  the  dial  has  completed  a  count,  a  second  hand 
tallies  one  hundred  on  the  dial  so  that  a  computation  of  ten  thou- 
sand ma}^  be  made  on  each  dial. 

After  a  certain  division,  or  bunch  of  cards,  represeutinq-  a  city 
or  county  has  been  passed  throug-h  the  tabulating-  machine,  the 
totals  on  the  dials  may  be  read  off  and  noted  on  the  total  tables 
of  the  report. 

One  dial  is  reserved  and  placed  iu  a  common  count  Avhich 
records  the  exact  number  of  cards  which  pass  through.  The 
total,  therefore,  of  any  given  item,  as  for  instance  in  color,  the 
total  of  black,  white,  and  mixed  must  be  equal  to  the  total  on  the 
reserved  dial.  By  this  means  any  failure  to  have  punched  the 
card  for  these  items,  or  failure  on  the  part  of  the  dial  to  record,  is 
immediately  noted  and  the  card  discovered  by  running  the  bunch 
through  and  noting  the  total  for  every  five  or  ten  .cards  passed. 

Since  the  number  of  items  called  for  in  the  rejiort  may  number 
ui)wards  of  two  hundred  and  forty,  it  is  evident  that  this  number 
of  dials,  each  of  which  is  about  three  inches  scpiare,  would  oc- 
cupy too  much  space.  An  electric  connection  is  therefore  made 
with  a  sorting  box,  which  consists  of  a  certain  number,  say  "id,  all 
of  which  have  a  light  metal  cover,  which  is  held  in  place  by  means 
of  an  electric  magnet.  A  sort  is  made  by  counting  up  each  cell, 
or  box,  with  the  items,  the  primary  division  of  occupations,  or  (^f 
divorces. 

When  the  needle  passes  through  the  item  hole,  the  contact  of 
the  needle  with  the  mercury  causes  the  lid,  or  cover,  <^f  the  box  to 
be  released.  A  spring  throws  the  cover  wide  oi)en.  Thi^  card 
having  Ixmmi  on  the  riM-ovd,  is  slid  olV  by  hand  into  th(^  cell,  (U-  com- 


182  STATE   BOARD    OF   HEALTH.  [1899. 

partment,  found  open.  The  cover  is  tlien  thrown  into  place,  bj^ 
hand,  being'  cauo-lit  by  the  hook  on  the  electric  magnet  and  from 
which  it  was  released  Avheu  the  magnet  moved.  The  opening  of 
the  sorting  box,  and  the  working  of  the  one  or  more  dials,  operate 
at  the  same  time. 

The  cards  accumulating  in  the  boxes  are  taken  in  their  sorted 
bunches  to  the  dial  portion  of  the  machine,  and  a  record  is  made 
of  the  holes  found  in  the  sub-divisions  of  occupations,  or  diseases. 

Although  each  card  is  placed  and  removed  by  hand,  yet  an 
operator  quickly  acquires  great  celerity  and  rapidity  i]i  the  work- 
ing of  the  machine.  It  ^^  ill  be  noted  that  the  operator  does  not 
read  the  cards,  but  the  instrument  does.  The  power  for  operation 
of  the  magnets  is  provided  by  about  twenty-four  carbon  zinc  cells. 

When  any  sort,  or  bunch,  consists  of  but  few  cards,  they  are 
more  readily  worked  by  hand.  The  limit  of  this  method  of  sort- 
ing and  counting  varies  with  the  operator.  The  reading-  is  made 
by  observation  of  the  holes  which  correspond  with  the  data  as 
given  in  the  original  certificate,  or  return. 

As  a  variation  or  simplification  of  the  work  of  punching,  a  ma- 
chine has  been  devised  by  Mr.  Gore,  of  the  Actuary  Department 
of  the  Prudential  Life  Insurance  Company,  of  Newark,  N.  J. 

This  consists  of  the  union  of  cutting,  or  punching,  rods  with 
the  key-board  of  a  typewriter.  In  this  instrument  the  cards  are 
fed  and  expelled  automatically  to  and  from  the  punching  blade. 
As  a  matter  of  economy,  and  for  the  purpose  of  having  cards  ac- 
curately cut  that  there  may  be  no  variation  in  size,  which  would 
lead  to  obstruction  in  the  several  machines  through  which  it 
passes,  Mr.  Gore  has  devised  a  machine  which  will  automatically 
cut  these  cards  from  strips  of  cardboard  distributed  from  a  roll. 
These  cards  are  also  stamped  automatically^  with  a  consecutive 
number,  and  printed  with  the  letters,  or  signs,  representing-  the 
data  to  be  noted. 

Mr.  Gore's  method  of  sorthig  consists  in  placing  bunches  of  the 
punched  cards  in  a  number  of  hoppers  which  are  arranged  on  a 
circular  platform,  several  of  these  circular  receptacles  being  im- 


18!>'J.]  SI'X.UETAKY's    KHroKT.  183 

l)osed  one  upon  the  otlier,  e;i<'li  beinq-  free  to  revolve  independent 
of  the  eirch^  jibovc  ;ind  l)('h)\v.  In  eneh  circle  there  are  receivini; 
i'oini)artnients  in  whii-li  the  iJrojectiny-  wire  is  inserted  at  a  jioint 
which  will  c()rr('s|)()iid  with  the  loc-atioii  of  the  hole  in  the  card 
the  notation  of  wjiich  is  desired.  As  these  circles  are  readily  re- 
volved by  hand,  or  i>lectric  motor,  each  successive  card  conies  in 
contact  with  these  i)ins,  and  if  the  hole  be  [U'eseut  directly  (jver 
the  pin,  the  card  will  drop  into  its  i)ro[)er  receptacle;  if  not,  it  con- 
tinues to  revolve  until  it  finds  a  point,  or  pin,  which  does  corre- 
si)ond.  In  this  way  all  of  one  age,  or  difterent  age  periods,  may 
be  sorted  at  the  same  time.  These  pins  are  adjustable  in  sockets 
for  any  of  the  signs  found  on  the  cards.  In  this  Avay  the  sorting- 
is  done  Avith  great  rapidity,  many  thousands  being-  separated 
within  an  hour. 

Succeeding-  this  operation,  an  instrument  has  been  devised 
which  shall  receive  these  cards  from  a  hopper,  and  automatically 
c<>in)t  and  register  the  number  of  cards  of  any  individual  sort 
placed  in  a  hopper.  As  this  does  away  the  with  mistakes  which 
are  liable  to  accrue  by  lack  of  memory  of  the  hand-sorter,  the 
results  are  more  accurate.  A  mistake  made  by  the  hand-sorter,  of 
passing-  two  cards  at  one  time,  is  obviated  in  this  counting-  instru- 
ment, since  two  cards  cannot  enter  at  the  same  time.  Any  failure 
to  enter  checks  the  operation  of  the  machine. 

There  is  on  the  market  a  hand  adding-  machine  which  will 
record  single  tallies,  or  items,  or  one  subject,  to  the  number  of 
'.>'.il»,  the  next  pressure  upon  tlie  projecting-  lever  of  the  machine 
throwing-  the  reading-  dials,  or  rather  registering-  wheels,  over 
again  to  000,  making  1,000.  These  counters  are  used  by  iimpires 
of  liase  ball  and  other  g-ames,  by  insi)ectors  of  steamboats,  and  in 
any  large  assembly  to  tally  the  number  of  persons  present. 

It  is  a  circular  box  of  metal,  about  two  inches  in  diameter,  -with 
glass  center  on  the  front,  protecting-  the  registering  wheels.  Each 
wheel  may  be  thrown  back  to  zero  by  means  of  thumb  keys  on 
the  back.    The  wheels  are  set  in  motion  by  pressing  a  lever  which 


184  STATE    BOARD    OF   HEALTH.  [1899. 

projects  on  one  side.  This  is  useful  only  in  adding-  by  single  ad- 
ditions of  one  or  two. 

For  the  purpose  of  adding"  numbers  including  units,  tens,  thou- 
sands and  upwards,  a  device  known  as  the  comptometer  is  to  be 
found  on  the  market.  It  consists  of  a  box  fourteen  inches  long 
and  eight  inches  wide  and  four  inches  deep,  containing  a  series  of 
wheels,  each  having  ten  notches  with  a  cam  on  each  wheel  at  the 
tenth  notch  which  will  cause  the  neighboring  wheel  to  advance 
one  notch,  or  number.  The  turn  of  the  wheel  is  produced  by 
pressing  upon  a  key  button  upon  which  is  imprinted  a  number. 
There  are  nine  digits  in  each  vertical  column  of  units,  tens,  etc. 
These  buttons  press  perpendicular  rods  which  force  horizontal 
arms,  or  levers,  to  press  against  the  notches  on  the  wheel,  the 
amount  of  push  being  governed  by  the  length  of  arm  or  the  lever- 
age of  each  number.  The  numbers  being  farthest  removed  from 
the  register  or  dial  has  the  longest  leverage.  All  the  numbers 
on  the  dial  may  be  brought  to  zero  by  turning  a  small  wheel  on 
the  side  of  the  machine. 

A  device  for  the  same  ]3urpose  is  found  in  the  Electrical  Ad- 
ding and  Multiplying  Machine  of  the  Pidgin  System.  It  differs 
from  the  previous  machine  by  the  numbers  being  notated  by 
mearis  of  sliding  keys  instead  of  stiff  upright  keys.  The  keys,  or 
arms,  with  pointer,  are  pushed  up  on  the  scale  to  the  number  to 
be  added.  All  of  the  numbers  up  to  a  billion,  being  set,  it  is  pos- 
sible to  read  the  numbers  off  for  correction  before  bringing  them 
back  into  place  and  registering  on  the  dials. 

This  form  of  machine  has  the  advantage  of  accuracy,  and  noise- 
less and  easy  of  operation,  very  little  effort  being-  required  to  push 
the  sliding  arms  into  position.  The  only  disadvantage  is  the 
necessary  width  of  the  machine.  An  attachment  also  provides  for 
locking  the  machine  to  avoid  intentional  or  accidental  movement 
of  the  arms  by  some  person  other  than  the  operator. 

As  with  the  Comptometer,  multiplication  and  division  and  other 
mathematical  computations  may  be  mechanically  executed  Avith 
the  aid  of  this  machine. 


189'.).]  SECKETAliV's    KKI'OKT.  185 

As  to  tlie  ;ulv;int;i^eK  of  one  systuiii  over  the  other,  it  may  be 
statod  that  any  iiiecliaiiit'til  clevi(;e  which  will  lehevo  the  miud,  the 
hiiml,  aiul  tlio  eye  from  coiitiiiuous  routine  eilbrt  will  serve  the 
avoidance  of  mistakes.  Huch  devices  necessarily  increase  rapidity 
of  ol)taiHin,i;'  results,  and  it  is  the  aim  of  all  registrars  of  vital 
statistics  to  issue  their  rei)()rts  at  the  earliest  possible  date  which 
is  consistent  with  completeness  and  acciiracy  of  the  information 
comi)iled. 

The  card  catalogue  system  has  the  advantaije  of  a  permanent 
record,  for  reference.  It  has  the  advantage  of  sorting-  by  hand, 
which,  as  has  beeu  stated,  is  preferable  in  dealing-  with  small 
totals. 

The  perforated  card  sj-stem  has  the  advantage  of  availability  of 
mechanical  devices  which  insure  accuracy,  biit  more  especially 
rapidity.  Thousands  of  cards  may  be  handled  in  this  Avay  when 
Inindreds  are  counted  by  hand.  One  great  advantage  that  this 
system  has  is  the  possibility  of  accumulating  and  sorting  to  ab- 
tain  one  item,  or  several,  covering  a  period  of  five  or  ten  years. 

The  introduction  of  the  perforated  card  involves  one  more  pro- 
cess in  the  operation.  The  card  must  be  punched  by  hand,  and 
must  be  fed  to  the  automatic  counting-  machine. 

Reading  direct  from  the  schedule,  or  return,  and  recording  the 
count  automatically  by  machine,  brings  the  information  direct 
from  the  return  into  the  total  and  is  thus  a  saving  of  time  as  well 
as  an  increase  in  accuracy.  If,  however,  a  mistake  is  made  in  re- 
cording one  too  many,  or  too  few  of  a  particular  item,  it  is  not 
possible  to  correct  that  except  l)y  a  rereading-  and  recount  of 
that  item  for  all  the  returns  that  are  in  the  schedule. 

In  the  nse  of  the  dials,  with  clock  hands  as  indicators,  it  is  very 
essential  that  the  operator  stand  directly  in  front  of  each  dial,  for 
from  a  i)oint  diagonal  from  the  dial,  the  angle  at  which  it  is 
viewed  will  give  a  mistaken  notation.  With  the  numerical  indi- 
cator the  numbers  are  at  once  evident.  No  counting-  of  inter- 
mediate divisions  on  a  dial  is  necessary,  the  total  being  read  oft' 
at  once  and  noted  on  the  total  sheet. 


II 


STATE    BOAKD    OF    HEALTH. 


[1899. 


On  May  18th  last,  a  commission  on  the  tabulation  test  for  the 
next  United  States  Census  was  appointed.  This  commission  sub- 
mitted to  the  contestants  schedules  representing-  approximately 
20,000  persons  which  were  selected  from  the  population  of  the  re- 
turns of  the  eleventh  census.  Individual  data  was  to  be  obtained 
from  these  schedules,  and  to  be  represented  in  twelve  tables,  com- 
prehending a  distribution  of  the  population  by  sex,  general 
nativity,  and  color,  age,  conjugal  condition,  place  of  birth, 
parentage,  illiteracy,  school  attendance,  citizenship,  occupations, 
and  months  employed. 


(County) 

(City  or  Town) 

(Month) 

(No.) 

f  Col  or  and  Race) 

(Conj.  Cond.) 

AGE 

(Years) 

(Months) 

(Days) 

(Res.  or  Non.  Res.) 

Disease 

or 

Cause  of  Death 

(Class) 

(Order) 

(Detail) 

Occupation 

(Class) 

(Section) 

(Detail) 

Place 
of 

A 

; 

^ 

IF 

A 

Birth 

and 

Parent 

Nativity 


o  o  o 


Massachusetts  Kegistration  :    Deaths— ISSt. 


Copyrighted,  1887,  by  Chas.  P.  Pidgin. 


1899.] 


SKCRETARY's    UEI'OKT. 


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According-  to  the  WashingtoD  Star  of  July  2Stli,  "  Four  systems 
of  tabulation  were  entered  into  competition :  First,  the  Hollerith 
Electric  Tabulating-  System.  Second,  the  Automatic  Multiple 
Counting'  Machine.  .  Third,  the  Pin  Board  Electrical  Tabulating- 
System,  and  the  Electrical  Typewriter  Tabulator,"  the  latter  three 
being  entered  by  Mr.  Pidg-in,  and  all  of  which  have  been  de- 
scribed in  this  paper. 

The  Star  states  that  "  the  Hollerith  System  completed  its  work 
in  185  hours  and  53  minutes  when  considered  as  the  labor  of  one 
clerk.  Of  this  total  time,  135  hours  and  30  minutes  were  con- 
sumed in  transcribing-  the  cards  bj'  punching,  including  'gang- 
punching;'  ()8  hours  and  38  minutes  in  running  the  punched 
cards  through  the  electric  counting  machine,  and  11  hours  and 
45  minutes  in  transferring  the  results  to  the  forms  of  tables  as 
submitted  by  the  commission.  Six  hours  and  30  minutes  (^f  the 
time  were  used  for  the  hand  sorting  of  certain  of  the  smaller  oc- 
cupation groups. 

"The  Automatic   Tabulating  System  consumed  452  hours,  of 


188  STATE    BOARD    OF    HEALTH.  [1899. 

which  228  hours  were  occupied  in  transcribing  (by  marking)  of 
the  cards.     The  counting  and  tabulating  occupied  224  hours. 

"  The  Pin  Board  System  was  not  continued  through  the  test  but 
was  stopped  by  agreement,  it  having  been  demonstrated  that  the 
rapidity  of  this  system  was  practically  the  same  as  that  of  the 
typewriter  tabulator  and  the  relative  efficiency  of  the  two  systems 
could  be  determined  by  confining  the  test  to  the  last  named 
system. 

"The  test  of  the  last  three  systems  was  begun  on  June  14th. 
Work  was  continued  on  the  typewriter  tabulator  until  July  27th, 
when  it  was  discontinued  by  direction  of  the  commission.  Up  to 
this  time  163  hours  had  been  consumed  by  the  test  and  nine  tables 
were  wholly  compiled. 

"The  tabbies  relating  to  foreign  percentage  and  occupation  re- 
spectively and  a  part  of  table  seven  relating  to  age  detail,  had  yet 
to  be  compiled." 

The  conclusions  as  reached  by  the  commission  were  as  follows : 
"As  the  result  of  the  test  of  the  several  systems  submitted  the 
commission  are  jointly  and  severally  of  the  opinion  that  the 
superiority  of  the  Hollerith  Electric  Tabulating  System  for  the 
compilation  of  individual  data  which  is  necessary  to  be  made 
from  the  returns  of  the  twelfth  census  has  been  clearly  and  fully 
demonstrated  and  they  so  report." 

Of  the  very  few  States  and  cities  having  any  system  of  registra- 
tion, Maine,  New  Hampshire,  and  Vermont  use  the  card  cata- 
logue system  which  consists  of  a  copy  of  the  original  return 
placed  upon  individual  cards  by  town  clerks  and  forwarded  to  the 
State  registrar.  These  cards  are  then  sorted  by  hand,  and  the 
cards  filed  away  as  a  card  catalogue  for  future  reference.  As 
these  returns  are  received  monthly,  it  is  possible  to  keep  the 
compilation  well  advanced  so  that  at  the  end  of  the  year  a  sum 
total  of  the  months  will  give  total  for  the  year.  This  system  also 
has  the  advantage  of  making  it  possible  to  correct  any  ill  defined 
causes  of  death,  by  correspondence  with  the  physician  before  the 
end  of  the  year. 


1899.]  SKrRKTAKY's    KKroitT.  J  89 

New  York  City  makes  use  of  the  Holleritli  Tabulating-  Macliine, 
the  smaller  numbers  bciii^'-  counted  by  liand.  The  State  of  Rhode 
Island  made  use  of  the  entire  Hollerith  machine  for  two  or  tliree 
years,  when  it  was  found  to  be  more  i)racticable  to  sort  the 
punched  cards  b}^  liand  instead  of  ninninii'  them  tln'ouj^li  tlie 
electrical  counting-  machiue.  It  is  found  also  that  the  cards  could 
be  punched  with  greater  rapidity,  and  sorted  more  readily,  than 
by  using  the  Pidgin  Card  System,  which  requires  markings  with 
pencil. 

It  is  a  difficult  matter  to  satisfactorily  explain  the  workings  of 
these  various  devices  without  having  the  machines  at  hand  for 
demonstration,  and  should  any  registrar  contemplate  the  use  of 
any  of  them,  he  would  naturally  visit  and  examine  the  devices 
wherever  the}'  might  be  in  operation. 


ADDITIONS  TO  THE  LIBRARY,  1899. 


Agricultural  Experiment  Station,  Kingston,  B.  I.,  Twelfth  Annual 

Report 

Augusta,  Ga.,  Twenty-first  Annual  Report  of  the  Board  of  Health,  for.lS98 

Befolkningstatistik  (29)  Mouvement  de  la  Population  en 1897 

Berlin,  Statistiches  Jahrbuch  de  Stadt,  for 1896 

Boston,  Mass.,  Annual  Report  of  the  Health  Department,  for 1898 

Boston  Public  Library,  Annual  Report,  for 1898-99 

British  Columbia,  Annual  Report  of  Provincial  Board  of  Health,  for.  1897 

Brookline,  Mass.,  Report  of  the  Board  of  Health,  for ' 1898 

Brooklyn,  K.  Y.,  Report  of  the  Department  of  Health,  for 1898 

Bureau  of  Animal  Industry,  U.  S.,  Annual  Report,  for 1898 

Cambridge,  Mass.,  Report  of  the  Board  of  Health,  for 1898 

Columbia  University,   College  of  Physicians  and  Surgeons,  Studies 

from  Department  of  Pathology  (Vol.  6,  Part  1st) 1898-99 

Conference  of  State  and  Provincial  Board's  of  Health,  Proceedings  of 

the  Twelfth  Annual  Meeting 1899 

Connecticut,  Annual  Report  of  the  State  Board  of  Health,  for 1898 

District  of  Columbia,  Report  of  the  Health  Officer,  for 1898 

England,  Sixtieth  Annual  Report  of  Registrar-General,  for 1897 

Finland,  Statistisk  Arsbok,  for — 1898 

Grand  Rapids,  Mich.,  Annual  Report  of  the  Board  of  Health,  for..  1898-99 
Illinois  Society  of  Engineers  and  Surveyors,  Thirteenth  Annual  Re- 
port, for 1898 

International  jSTomenclature  der  Todesursachen 

Ireland,  Thirty-fifth  Annual  Report  of  the  Registrar-General,  for 1898 

Louisiana,  Sanitary  Code  State  Board  of  Health. 
Maine,  Sixth  Annual  Report  on  Births,  Marriages,  Deaths,  and  Di- 
vorces, for 1897 

Maine,  Tenth  Annual  Report  of  the  State  Board  of  Health,  for. . .  .1896-97 

Manchester,  IST.  H.,  Report  of  the  Board  of  Health,  for 1898 

Massachusetts,  Annual  Report  of  the  State  Board  of  Health,  for 1898 

Massachusetts,  Annual  Report  of  Statistics  of  Labor,  for 1898 


181)9. J  SKCKKTAKY's    Ill.l'oliT.  101 

Massacliusetts,  Animal  Report  of  Statistics  ot    Maiiiilaftiuvs,  tor is9s 

Mii-liigan,  Aiiiiiiai  Report  ot  tlie  State,  lioanl  ot  iiealtli,  for 1W>S 

Michigan,  Registration  Report,  tor isit" 

Minnesota,  Annnai  l{ei)ort  State  Hoard  of  Ileaitli ls!)r>-<)8 

National  Contect ioners  Ass'n,  Proceedings  ot  tlie  Meeting  of.  held  in.lSflO 

Newark,  N.  . I..  Annual  llepoil.  Department  (»!'  l'id)lic  iieiillh isos 

New  RrnnswicU.  'rweH'lii  Annual  Ifeport,  Provincial  Ihiard  ol'  Health, 

tor ISOT 

Newhurgh,  Report  of  the  Iiealtli  Ollicer,  for 180S 

New  Jersey,  Annnai  Report  of  Medical  Examiners  of,  for 1808 

New  Hampshire  Medical  Society,  Transactions  of,  for 1808 

New  Hampshire,  Report  of  the  State  Board  of  Health,  for 1808-90 

New  Hampshire,  Sixteenth  Registration  Report  of 1896-97 

Ne\v  Haven,  Conn.,  Report  of  the  Board  of  Health,  for 1898 

New  York  City,  Annual  Report  of  Hoard  of  Health,  for 1898 

New  York  Hospital,  One  Hundred  Twenty-Seventli  Annual  Report  of 

the  Society,  for 1808 

New  York  State,  Eighteentli  Annual  Report  of  tlu'  Hoard  of  Health, 

with  accompanying  maps,  for 1809 

North  Carolina,  Hienuial  Report  of  Board  of  Health,  for 1897-98 

Ohio,  Annual  Report  of  the  State  Board  of  Health,  for 1898 

Oklahoma,    Fourth    Hiennial    Report   of    Superintendent    of    Public 

Health,  for 1807-98 

Ontario,  Annual  Meeting,  Association  of  Health  Officers,  held 1899 

Ontario,  .\nnual  Rei>ort  of  the  Provincial  Hoard  of  Health,  for 1898 

Ontario,  Registration  Report,  for 1897 

Pennsylvania,  Animal  Report  of  the  State  Board  of  Health,  for 1898 

Peinisylvania.  Report  of  Filth  Annual  Meeting  of  Associated  Health 

Authorities  of,  for 1898 

Providence  Athena-um,  Sixty-fourth  Annual  Report  of 

Providence  City  Manual 1898 

Providence  Pultlic  Library,  'rweiity-tirst  Animal  Rejtort  of,  for 1808 

Providence.  R.  I.,  Forty-fourth  Animal  Report,  Hirths,  Marriages,  and 

Deaths 1808 

Providence,  R.  I..  Animal  Rt'port  of  the  City  Hngineer,  for 1898 

Providence,  R.  1.,  Report  of  the  Health  Department,  for 1808 

Quebec,  Annual  Report  of  the  Provincial  Hoard  of  Health,  for 1808 

Reading,  Pa.,  Report  of  the  Hoard  of  Health,  for 1808 

Redwood  Library  and  Athena-um,  (,)ne  Hundred  Sixty-Ninth  Annual 

Rei)ort 


192  STATE    BOARD    OF    HEALTH.  [1899. 

Report  of  Surgeon-General  of  the  Army  to  Secretary  of  War,  for 1898 

Rhode  Island  Hospital,  Annual  Report 1898 

Rhode  Island,  Twelfth  Annual  Report  of  Industrial  Statistics,  for. . .  .1898 

Rhode  Island  Manual,  for 1898-99 

Rhode  Island  School  Reports,  for 1898 

Rhode  Island  State  Board  of  Agriculture,  Annual  Report 1898 

Rhode  Island  State  Charities  and  Corrections,  Annual  Report 1898 

Rhode  Island  Society  for  Prevention  of  Cruelty  to  Animals,  Twenty- 
Ninth  Annual  Report,  for  the  year  ending March  31,  1899 

San  Francisco,  Cal.,  Annual  Report  of  the  Board  of  Health 1897-98 

Sanitary  Reports— Weekly  Abstracts 1898 

South  Carolina,  Eighteenth  Annual  Report  of  the  Board  of  Health,  for.  1898 

State  Auditor's  Report,  for 1898 

St.  Louis,  Mo.,  Report  of  the  Health  Commissioner,  for , 1898 

St.  Paul,  Minn.,  Annual  Report  of  Commissioner  of  Health 1898 

Terra  Haute,  Ind.,  Annual  Report  of  the  Board  of  Health,  for 1898 

United  States  Department  of  Agriculture,  Year-book  of,  for 1898 

United  States  M.  H.  S.,  Annual  Report  of  the  Supervising-General,  for.1898 
Wisconsin,  Seventeenth  Biennial  Report  of  State  Board  of  Health.  1897-98 


gi:m:iial  i.aws. 


CHAPTER  96. 

OF  THE   STATE    P,(»A1{I)   OF   HEALTH. 

Section  l.    Tlie  governor,  with  the  advice  and  fouseiit  of  the  sen     The  state 
ate,  shall  appoint  six  persons,  two  from  the  county  of  Providence,    health,  ap- ' 
and  one  from  each  of  the  other  counties,  who  shall  constitute  the   vacancies,  how 
state  board  of  health,  one  of  whom  shall  be  appointed  in  each  year   movais,  how 
for  the  term  of  six  years  from  the  first  day  of  July.    Any  appoint- 
ment to  fill  a  vacancy  shall  be  for  the  remainder  of  the  term.     Of 
the  persons  so  appointed,  at  least  three  shall  be  well-educated  physi- 
cians and  members  of  some  medical  society  incorporated  by  the  state. 
The  governor  may  remove  any  member,  for  cause,  at  any  time,  ui)on 
the  written  request  of  two-thirds  of  the  board. 

Sec.  2.     The  board  shall  take  cognizance  of  tlii'  interests  of  life   Duties  of  the 

board,  with 

and  health  among  the  citizens  of  the  state  ;  they  shall  make  investi-   reference  to 

life  and  health 

gations  into  the  causes  of  disease,  and  especially  of  epidemics  and   among  the 

citizens  of  the 

endemics  among  the  people,  the  sources  of  mortality,  and  tlie  effects   state. 

of  localities,  employments,  conditions,  and  circumstances  on  the 

public  health,  and  shall  do  all  in  their  power  to  ascertain  the  causes 

and  the  best  means  fur  tiie  preventioii  of  diseases  of  every  kind  in 

the  state.     They  shall  publish  and  c-irinilatt',  from  time  to  time,  such 

information  as  they  may  deem  to  be  important  and  useful  for  diffusion 

among  the  people  of  tlie  state,  and  sliall  investigate  and  give  advice 

in  relatioji  to  sucli  sul)jects,  relating  to  the  public  liealth,  as  may  be 

referred  to  tiiem  by  the  general  assembly,  or  by  tiie  governor  wlicu 

the  general  assembly  is  not  in  session. 

Sec.  3.     The  state  board  of  healtli  shall  also  investigate  the  subject    J."  'uvestiprate 

'  •"  di.^eases 

of  diseases  among  cattle  or  other  animals.  amons  cattle. 

"  etc. 

Sec.  4.     The  board  sliall  meet  in  the  city  of  IMovidence  once  in    Meetings, 
three  months,  and  as  nuich  oftener  as  they  may  deem  necessary.    Xo 

25 


]94 


STATE    BOARD    OF   HEALTH. 


[1899. 


Secretary. 


Duties  of  sec 
reiary. 


Compensation,  member  of  the  board,  except  the  secretary,  shall  receive  any  com- 
pensation for  his  services  ;  but  the  actual  personal  expenses  of  any 
member,  while  engaged  in  the  duties  of  the  board,  shall  be  paid  by 
the  state. 

Sec.  5.  The  board  shall  elect  a  well-qualified  physician  as  their 
secretary,  who  shall  be  ex-offlcio  a  member  of  the  board,  the  com- 
missioner of  public  health  and  state  registrar ;  but  he  shall  not  be 
permitted  to  vote  on  any  question  in  which  he  is  personally  interested. 

Sec.  6.  The  secretary  of  the  board  shall  make  inquiry,  from  time 
to  time,  of  the  clerks  of  town  and  local  boards  of  health  and  prac- 
ticing physicians,  in  relation  to  the  prevalence  of  any  disease,  or 
knowledge  of  any  known  or  generally  believed  source  of  disease  or 
causes  of  general  ill-health,  and  also  in  relation  to  the  proceedings 
of  the  said  boards  of  health,  in  respect  of  acts  for  the  promotion  and 
protection  of  the  public  health,  and  also  in  relation  to  diseases 
among  domestic  animals  in  their  several  towns  ;  and  the  said  clerks 
of  town  and  local  boards  of  health  and  said  practicing  physicians 
shall  give  information,  in  reply  to  said  inquiries,  of  such  facts  and 
circumstances  as  shall  have  come  to  their  knowledge. 

Sec.  7.  The  secretary  shall  perform  and  superintend  the  work 
prescribed  for  said  board  by  law,  and  such  other  duties  as  the  board 
may  require  ;  he  shall  prepare  and  publish,  in  every  calendar  month, 
a  general  summary  of  all  the  deaths,  and  causes  of  the  same,  which 
have  occurred  in  the  state  during  the  preceding  month,  the  same  to 
be  made  up  from  returns  of  deaths  which  shall  be  made  to  him  on  or 
before  the  tenth  day  of  the  month  following  the  date  of  such  deaths, 
by  the  several  town  clerks,  the  city  registrar  of  Providence,  and  the 
city  clerks  of  the  other  cities  ;  he  shall  also  prepare  and  publish  for 
general  distribution  a  monthly  circular  giving  information  and  advice 
in  regard  to  the  preservation  of  health,  suitable  for  each  particular 
season,  and  giving  also  such  information  as  he  shall  deem  of  advan- 
tage to  the  public,  as  to  the  prevalence  and  character  of  infectious 
diseases  of  domestic  animals.  He  shall  hold  his  office  during  the 
pleasure  of  the  board,  and  may  be  removed  at  any  regular  meeting 
by  a  majority  vote  of  the  members  of  said  board. 

Sec.  8.  The  governor  shall  provide  a  suitable  office  for  the  board 
in  the  city  of  Providence  ;  and  the  actual  expenses  of  the  board  and 
of  the  members  thereof,  when  certified  by  the  chairman  and  approved 
by  the  governor,  shall  be  paid  from  the  state  treasury. 


Same  subject. 


Office  and  ex- 
pense of  the 
board. 


1K99.  1  SErUKTARV's    RKI'Oiri'.  195 

Skc.  U.     'I'lic  Ixmnl  sIimII  nrnkf  a  n>i)()rt  in  ])riiit  to  tlie  pcnoral  as-    Toreportan- 
scinltly,  ;iiiiMiall\ ,  <il'  its  |nucc('(liii<rs  (lurinjif  (lie  j'ciir  endiiij,'' on  tlie    '""*  *' 
tliiity-lirst  (lay  nl'  I  >rcfiiil)t'r  iicxi   ]>r('cc(liim',  witli  siicli  sii^ftrcstiuns 
ill   iciatioii  (()  the  sanitary  laws  and   intrrrsts  (if  IIk:"  state  as  tliey 
sliail  deem  iiiiportant. 


CHAPTER  1(>5. 

OF   Tin-:   JMIAC'l'ICK   OF   MEDICINE. 

[As  amend(;fl  Xovemljer,  1901.1 

Skctiox  1.     It  shall  lie  the  duty  of  each  town  and  city  cderk  to    Register  of 
imrchase  a  book  of  snitable  size,  to  be  known  as  the  "medical  reg-    be  kept  by  city 
ister"  of  each  city  or  town,  and  to  set  apart  one  full  page  for  the    clerks, 
registration  of  eacli  pliysician  ;  and  wlien  any  pliysician  shall  die  or 
remove  from  the  city  or  town,  said  clerk  shall  make  a  note  of  the 
same  at  the  bottom  of  the  page,  and  shall  on  the  first  day  of  January 
in  each  year  transmit  to  the  ottice  of  the  state  board  of  health  a  duly-   Annual  list  to 

state  board  of 

certified  list  of  the  physicians  of  said  city  or  town  registered  under  health, 
this  chapter,  together  with  such  other  information  as  is  hereinafter 
required,  and  perform  such  other  duties  as  are  required  by  this  chap- 
ter; and  such  clerk  shall  receive  tlie  sum  of  iifty  cents  from  each   C'ompensation. 
pliysician  so  registered,  which  shall  be  his  full  conipensatioii  for  all 
tlie  duties  required  under  this  chapter. 
Skc.  2.     It  shall  be  unlawful  for  any  person  to  practice  medicine    Practice  of 

,.  .,     ,  ,  -J.,  •      i ,       ,•      -.L       i.  .L,  ■       i    .,  ,         medicine  is  un- 

or  surgery  m  any  ol  its  branches,  within  the  hnuts  ot  this  state,  who  lawful  without 
has  not  exhibited  and  registered,  in  the  city  ur  town  clerk's  otHce  of  certificate  of 
the  city  or  town  in  which  he  or  she  resides,  his  or  her  authority  for 
so  practicing  medicine  as  licrcin  prescribed,  together  with  his  or  lier 
age,  address.  i)la('(^  of  l)irtli,  and  the  school  or  system  of  medicine  to 
which  he  or  she  proposes  to  tieiong;  and  the  person  so  registering 
shall  siiliscrilic  ami  verify  by  oath,  before  such  clerk,  an  alVidavit 
containing  such  fai-ts.  which,  if  wilfully  false,  shall  subject  the 
alhant  to  conviction  and  punishnicnt  for  jierjury. 

.Skc.  :l     Authority  to  inaclice  medicine  under  this  chapter  shall    |,",t[iVor?ty^,u,d 
be  a  certificate  fr.»m  the  state  board  of  health,  and  said  board  shall,    byZwd'''" 
upon  application,  after  examination,  issue  a  certificate  to  any  repu- 
table ])liysician  w  ho  iiileiids  to  practice  medicine  or  surgery  in  this 


196 


STATE    BOARD    OF   HEALTH. 


[1899. 


Fee. 


Certificate  to 
be  how  signed; 
fee  therefor. 


Itinerant  doc- 
tors are  pre- 
cluded. 


Certificates 
may  be  refused 
or  be  revoked, 
when. 


Board  may  ad- 
minister oaths, 
summon  wit- 
nesses, and 
compel  produc- 
tion of  boolis 
and  papers. 


Contempt,  how 
punished. 


Perjury. 


state  and  who  shall  present  himself  before  the  state  board  of  health 
and  pass  in  a  satisfactory  manner  such  examination  as  said  board 
may  require.  Any  physician  so  presenting  himself  shall  pay  to  said 
board  the  sum  of  ten  dollars  ($10)  for  each  examination,  and  said  fee 
shall  in  no  case  be  returned,  but  shall  be  applied  to  pay  the  expenses 
of  said  board  of  health  in  conducting  such  examinations.  Each  cer- 
tificate so  issued  shall  be  signed  by  the  president  and  countersigned 
by  the  secretary  of  said  board  and  shall  be  attested  by  the  official 
seal,  and  not  more  than  two  dollars  ($2)  shall  be  charged  for  a  cer- 
tificate. 

Sec.  4.  Nothing  in  this  chapter  shall  be  so  construed  as  to  au- 
thorize any  itinerant  doctor  to  register  or  to  practice  medicine  in  any 
part  of  this  state. 

Sec.  5.  The  board  may,  after  due  notice  and  hearing,  in  its  dis- 
cretion refuse  to  grant  the  certificate  provided  for  in  section  3  of  this 
chapter  to  any  physician  who  is  not  of  good  moral  character,  or  who 
has  violated  any  of  the  laws  of  the  state,  or  who  has  been  guilty  of 
gross  unprofessional  conduct  or  conduct  of  a  chaaracter  likely  to 
deceive  or  defraud  the  public,  and  may,  after  due  notice  and  hearing, 
revoke  any  certificate  issued  or  granted  by  it  heretofore  for  like 
cause  or  for  any  fraud  or  deception  committed  in  obtaining  such 
certificate,  or  for  any  other  cause  which  in  the  opinion  of  said  board 
shall  render  the  holder  of  such  certificate  an  unfit  person  to  practice 
medicine  in  this  state.  The  members  of  said  board  are  hereby 
severally  authorized  to  administer  oaths,  and  said  board,  in  all  cases 
or  proceedings  pending  before  it,  is  hereby  authorized  and  em- 
powered to  summon  witnesses  by  subpoena  signed  by  the  secretary 
of  said  board,  and  to  compel  such  witnesses  to  attend  and  testify  in 
the  same  manner  as  witnesses  are  compelled  to  appear  and  testify 
in  either  division  of  the  supreme  court ;  and  said  board  is  author- 
ized to  compel  the  production  of  all  papers,  books,  documents,  rec- 
ords, certificates,  or  other  legal  evidence  that  may  be  necessary  or 
proper  for  the  determination  and  decision  of  any  question  or  the 
discharge  of  any  duty  required  by  law  of  said  board,  by  issuing  a 
subpoena  duces  tecum,  signed  by  the  secretary  ;  and  every  person  dis- 
obeying any  such  writ  shall  be  considered  as  in  contempt,  and  said 
board  may  punish  any  contempt  of  its  authority  in  like  manner  as 
contempt  may  be  punished  by  either  division  of  the  supreme  court. 
Any  person  who  shall  wilfully  swear  falsely  in  any  proceeding,  mat- 
ter, or  hearing  before  said  board  shall  be  deemed  guilty  of  the  crime 


1899,]  RKfliKTAKY's    HKI'OKT.  197 

of  perjury.  Said  board  sliall  serve  a  eojjy  of  its  deeisioii  or  riiliiiy^ 
upon  any  person  whose  certificate  has  been  refused  or  revoked.  Any 
person  agjrrieved  by  any  decision  or  ruIiuLr  of  said  board  may,  within  Api.eals. 
ten  days  after  receiving  said  notice,  exchisive  of  Sundays  and  ii-jj^al 
holidays,  take  an  appeal  thei'efrom  to  the  appellate  division  of  tlic 
supreme  court,  sitting  at  Providence,  and  shall  tile  therein  iiis  rea- 
sons of  appeal,  and  serve  a  copy  thereof  on  the  secretary,  or  i)erson 
performing  tlie  duties  of  secretary,  of  said  board  ;  and  said  appellate 
division  of  the  supreme  court  sliall,  as  soon  as  may  be,  iiear  and 
determine  said  appeal. 

Skc,  6.     Nothing  in  this  law  shall  be  so  construed  as  to  discrimi-   To  whom  this 

rhapter  does 

nate  against  any  particular  school  or  system  of  medicine,  or  to  "ot apply, 
prohibit  gratuitous  services  in  case  of  emergency  ;  nor  sliall  this 
chapter  apply  to  commissioned  surgeons  of  the  United  States  army, 
navy,  or  marine  hospital  service,  or  to  legally  qualided  physicians  of 
another  state,  called  to  see  a  particular  case,  in  consultation  with  a 
registered  physician  of  this  state,  but  who  do  not  open  an  office  or 
appoint  any  place  in  this  state  wliere  tliey  may  meet  patients  or 
receive  calls. 
Sec.  7.     Complaints  for  violation  of  the  provisions  of  tliis  cliapter    Prosecutions, 

secletary  of 

shall  be  made  bv  tlie  secretary  of  said  board,  and  said  secretary  shall    >^tat.'  ijuard  of 

health  n(>t  re- 
be  exempt  from  giving  surety  for  costs  on  any  complaint  made  as    quired  to  give 

siiiety  for 

aforesaid.  L<>sts. 

Sec.  8.     Any  person  who,  not  being  then  lawfully  aulliovized  to    Penalties  for 

praeticiii!.' 

practice  medicine  within  this  state,  and  so  registered  according  to  without  certifi- 
cate, 
law,  shall  practice  medicine  or  surgery  or  attempt  to  practice  medi- 
cine or  surgery,  or  any  of  the  branches  of  medicine  or  surgery,  after 
having  received  therefor  or  with  the  intent  of  receiving  therefor, 
either  directly  or  indirectly,  any  bonus,  gift,  or  compensation,  or 
who  shall  open  an  office  with  intent  to  practice  medicine,  or  shall 
iiold  himself  out  to  the  public  as  a  practitioner  of  medicine,  whether 
l)y  appending  to  his  name  the  title  of  doctor  or  any  abbreviation 
thereof,  or  M.  D.,  or  any  t)ther  title  or  designation  implying  a  practi- 
tioner of  medicine,  or  in  any  other  way,  shall  be  deemed  guilty  of 
a  misdemeanor,  and  upon  conviction  thereof  shall  be  lined  lifty  dol- 
lars, and  upon  each  and  every  subsequent  conviction  shall  Ik-  lined 
one  hundred  dollars  and  imprisoned  thirty  days,  either  or  l)otli,  in 
the  discretion  of  the  court;  and  in  no  case  when  any  provision  of 
this  chapter  has  been  violated  shall  the  person  so  violating  sui-h 
provision  be  entitled  to  receive  conipensatitin  for  services  reuderetl. 


INDEX. 


Additions  to  lil)rarv. 

Allen,  Edwin  R 

Angell,  Thomas  H.. 
Apoplexy  * 


Baby  farms 

Bennett,  Herbert  F 

Births  in  1890 

new  law  governing  registration  of 

Bowden,  Charles  H 

Bowen,  Abraham 

Brayton,  William  F 

Bristol  water  supply 

Bronchitis* 

Brownell,  Frederick  K 


Cancer* 

Capwell,  Dr.  Remington  P 

Carpenter.  ( Icorge  A 

Case,  Jolin  1' 

Caswell,  William  F. 

Caswell,  William  II 

<'li;imi)liii,  Edward  P 

<  liapin.  Dr.  Charles  Y 

<  Iiase.  Albert  L 

(iiolera  Infantum* 

Cliristiaii  .Scientists,  prosecution  of 

decisions  in  cases  of. 
Cluirch,  Pri'derick  P 


PAGE. 

190-192 

40 

25 

128 

72 

12 
124 
145 
62 
fio 
21 
2 

128 
10 

128 

70 

20 

91 

15 

50 

20 

89 

20 

128 

150 

1.52 

12 


*  See  Index  to  Forty-fifth  Registration  Report. 


300  STATE    BOARD    OF   HEALTH.  [1899. 

BAGE. 

Clapp,  Otis  F 37 

Clark,  E.  Howard 92 

Clark,  John  F 23 

Clarke,  Halsey  P : - 50 

Clavin,  John 67 

Compilation  in  census  and  registration  reports,  methods  of 176-189 

Consumption*  (see  Tuberculosis) 129 

deaths  from 129-131 

Contagious  diseases 1 

"  "       hospital  for 74 

reported  in  1899 132-134 

Cook,  Byron  I 39 

Crawford,  C.  Fred 22 

Cross,  (j-eorge  C 48 

Cultures  from  diplitheria 6 

Deaths  in  1899 124-131 

"       causes  of 127 

"       diagram  of  eighteen  chief  causes 131 

"       new  law  governing  registration  of 145 

"       percentage  of 127 

"       rate  for  twelve  years 126 

Diarrhoea  * 129 

Diphtheria* 6,  78,  129 

"  cases  reported 132 

Disease,  infectious 77 

Disinfection 73 

Dysentery* 129 

Easton,  Charles  F 24 

East  Providence  water  supply,  inspection  of 143 

Edwards,  John  H 49 

Electrolysis  of  water  pipes 39 

Examination  of  cultures  from  diphtheria    6 

Examination  of  sputum  from  tuberculosis 6,- 135 

Expectoration,  ordinance  prohibiting 30 

Famum,  Charles  W 24 


*  See  index  tu  Fdiiy-fifih  Kegistratiun  Keport. 


18!)!).]                                                         INDI'X.  201 

PAOE. 

I'^ilttT  iTclds,  sewage 27 

IMlt ration,  East  I'rovideiu'e  water  company 6,  164-175 

rrovideiicc  water  supply 4 

( i  a  rhage 72 

( uMieral  laws 193 

(Jritlin,  Stcplu'ii  W 14 

iianis,  Dr.  (irorge  A 69 

1 1  ealth  officers,  reports  of 59 

1 1  oart  disease  * 129 

Hospital  for  contagious  diseases 74 

Hoxsey,  William 51 

Infectious  diseases 75 

lurtuenza* 129 

I  uspection  of  provisions 72 

Kidney  diseases* 130 

K  innecom,  Sanf ord  E 70 

Langworthy,  George  A 90 

r.atham,  Dr.  Daniel  S 68 

Laws  governing  registration  of  births,  marriages,  and  deaths 145 

I  iegislation,  medical 147 

Jabrarj%  additions  to 190-192 

Lockwood,  James  T 15 

Loomis,  George  A " 14 

1  Aither,  Sterry  K 24 

Lyon,  Emory  J) 23 

MacKnight,  Dr.  Adam  S 64 

Malaria* 129 

Marriages  in  1N'.»'.» 125 

new  law  governing  registration  of 145 

Mason,  Cliarles  B 13 

Mason,  William  (' 48 

Mathewson,  Edgar  A 21 

♦See  iiide.is  to  Kurty-lifth  Registration  Report. 
36 


202  STATE   BOARD    OF    HEALTH.  [1899. 


McGunnagle,  William  J. ,  •  •   ■■'■  68 

McKenzie,  Thomas 54 

Medical  laws 195-197 

Medical  legislation 147 

"  "         appeals  from  decisions  of  Board 148 

"  "         legal  decisions 152 

"  "  "  "        "Christian  Scientists" 152 

"  "  prosecutions 150 

"  "         rulings  of  Board 148 

Metcalf,  Dr.  Harold 91 

Meteorology 108-123 

Methods  of  compilation  in  census  and  registration  reports 176-189 

Mortality  statistics 124-131 

Mott,  Hamilton  A 65 


Xewport  city  water. supply. 


Ordinances,  new  sanitary — 

Little  Compton 15 

Pawtucket 30 

Portsmouth 31 

Warren = 13 

Paine,  Dr.  Ara  M 92 

Paralysis* :  128 

Parks,  public 36 

Pawtucket  city  water  supply. 3 

Pawtuxet  river 3 

Peck,  George  H 62 

Peck,  James  G 23 

Peirce,  Thomas  J 50 

Personnel  of  the  Board 6 

Pneumonia* 130 

Privy  vaults,  removal  of 71 

Providence,  assessed  valuation 89 

"           city  water  supply 3 

"           population  of 31 

Provisions,  inspection  of 75 

*See  index  to  Forty-fifth  Registration  Report. 


1899.1  INDEX.  203 

I'AOE. 

Publ ic  parks 30 

Rain  tall 'JO,  109-12:} 

"        Woonsoc'ket 47 

Registration  to  practice  medicine — 

Appeals , 148 

"  Christian  Science  " 1.52 

J^egal  decisions 152 

Legislation 147 

Prosecutions 150 

Rulings 148 

Remington,  Daniel  IT 37 

Richards,  Dr.  Byron  I" 71 

Roberts,  Samuel  II 30 

Sanitary  ordinances,  new — 

Little  Compton 15 

Pawtucket 30 

Portsmouth 31 

Warren 13 

Scarlet  fever* 75,  130 

"  "      cases  reported 133 

Seagrave,  Charles  S 25 

Sewage,  filtration  of " 27 

"        disposal  of.  Providence 30 

Shaw,  George  C 65 

Shaw,  Dr.  Ralph  II.  R 69 

Smallpox* 87,  130 

Sputum  from  tuberculosis 0 

Statistics,  mortality 124-131 

Steele,  Dr.  Minot  A 60 

Stimson,  Dr.  Kdward  I' 00 

Sweet,  Dr.  Charles  F 07 

Swill,  collection  of 72 

Temperature 109-123 

Tobey,  Oscar  A 37 

*See  index  to  Forty-fifth  Registration  Report. 


204  STATE    BOARD   OF   HEALTH.  [1899. 

PAGE. 

Towns,  reports  from 9 

Barrington 12,  62 

Bristol 12,  62 

Burrillville 21,  67 

Central  Falls 22,  67 

Charlestown 48,  90 

Coventry 13,  63 

Cranston 22,  68 

Cumberland 22,  68 

East  Greenwich , 14,  64 

East  Providence '. 23,  69 

Exeter 49,  90 

Foster 23,  69 

Glocester 23,  69 

Hopkinton 49,  90 

Jamestown 15,  64 

Johnston 24,  69 

Lincohi 24,  70 

Little  Compton 15,  64 

Middletown 19,  65 

ISTarragansett 49,  91 

Newport 20,  65 

New  Shoreliam • 20,  65 

North  Kingstown 50,  91 

North  Providence 25,  70 

North  Smithfleld 25,  70 

Pawtucket '■ 25,  71 

Portsmouth 20,  66 

Providence 31,  71 

Richmond • 50,  91 

Scituate 37,  89 

Smithfleld 37,  89 

South  Kingstown 50,  91 

Tiverton 21,  66 

Warren 13,  63 

Warwick 14,  64 

Westerly 51,  92 

West  Greenwich 14,  64 

Woonsocket 38,  90 


18(t0."|                                            ixDKX.  205 

I'Aae. 

'I'ultcrculitsis.  imlinoiiary* 129 

cxamiiKit  ion  of  split  11111  fiDiii 0,135 

"                       "            expectoration  rnrl»i(l(lcn 30 

"                         "             record  of  all  cases  of    138 

'ryi)lioi(l  fever* 75,  129 

"            "       cases  rei)ortc(l 134 

"            "       ill  >V(ionsocket 140 

Vaccination 73 

Walker,  Dr.  James  W 70 

Ward,  George  E 65 

Waterman,  Daniel  D 22 

Water  analysis 98-107 

"           "         Westerly 54 

supplies 1,  93 

"           "        electrolysis 39 

"  "         improvement  of — 

Pawtneket 25 

Pawtuxet  river 3 

Providence 31 

Ten-Mile  river 143 

"      works — 

Bristol 2 

East  Providence 5 

"             "           examination  of 3 

Newport 2 

I'awtucket 3 

Providence 3,  31 

Westerly 52-57 

Woonsocket 2,  38 

Wind,  prevailing:  direction  of 109-123 

AVinsor,  Dr.  .Tolin 03 

Woonsocket.  typiioid  lever  in 140 

•See  index  to  Furtytiltli  Uefrixt  ration  Ucpoil. 


FORTY-SIXTH    HKINJRT 


REI,ATINO   TO   TIIK 


REGISTRY   AND    RETURN 


Births,  Marriao;es,  and  Deaths, 


AND  OF    DIVORCE, 


STATE  OF  RHODE  ISLAND, 


YEAR  ENDING  DECEMBER  31,  1S9S. 


PltEPAUED    BY 


GARDNER    T.    SWARTS,    M.    D. 


STATE    REOISTBAR   OF   VITAL   STATISTICS;   SECRBTAKY   OF  THE   STATE   BOARD   OF   HEALTH; 
COMMISSIONER  OF  PUBLIC  HEALTH. 


PROVIDENCE : 

E,  li.  FREEMAN   i  SONS,    PRINTERS  TO  THE  STATE. 
1900. 


MEMBERS 


Rhode  Island  State  Board  of  Health, 


Post  Office  Address. 

ALBERT  G.  SPRAGUE,  M.  T).,  President River  Point Kent  County. 

SAMUEL  M.  GRAY,  C.  E Peovidence Providence  Co. 

JOHN  C.  BUDLONG,  M.  D Providence Providence  Co. 

REV.  GEORGE  L.  LOCKE Bristol Bristol  County. 

ALEXANDER  B.  BRIGGS,  M.  D Ashaway Washington  Co. 

PETER  F.  CURLEY,  M.  D  Newport Newport  County, 

GfARDNER  T.  SWARTS,  M.  D Providence Providence  Cq. 

GARDNER  T.  SWARTS,  Secretary. 


J^tate  af  Uhurtc  ^$\nm\  and  ^H'oviacucc  5,Mantatiou,s. 


C)F1  U  !■:   OF   TIIK   STATK    RkOTSTHAI!    OF   VlTAL   STATISTICS. 

Pkovidence,  li.  I.,  ]Marcli  1,  lUOO. 

To  the  Honorable  General  Assemhhj : 

The  Forty-Sixth  Aiuuial  Keport  upon  tlie  Eegistration  of  Births,  Mar- 
riages, and  Deaths  hi  Kliode  lsh\nd,  and  hicluding  judicial  i)roeedures  hi 
relation  to  divorce,  durhig  the  year  1808,  with  compeudiary  Tahles  of  the 
results  of  registration  in  the  previous  years,  is  herewitli  respectfully  suh- 
mitted. 

The  plan  of  preceding  years,  hi  regard  to  the  general  arrangement  of  tlie 
Tables,  summaries,  and  comments,  has  been  followed  in  this  report,  with 
some  additional  Tables,  and  a  few  special  changes  made  to  meet  certain 
requirements. 

In  the  special  Tables  the  object  has  been  to  present  the  important  facts 
of  many  years  of  registration,  as  well  as  of  single  years,  in  such  manner  as 
to  make  them  readily  apparent  and  relieve  the  reader  of  the  statistics 
of  much  of  the  labor  of  personal  examination  of  each  of  the  general  Tables 
of  the  preceding  reports  for  the  purpose  of  ascertaming  the  relation  the 
various  facts  bear  to  each  other. 

In  previous  reports  the  proportion  of  births,  marriages,  and  deaths  to 
the  population  has  been  estimated  m  various  ways.  For  a  few  years  the 
estimation  was  made  upon  the  figures  derived  from  the  census  taken  in  a 
given  year,  and  the  same  number  of  population  used  each  year  until 
the  next  census  was  available.  In  other  periods  an  estimate  was  made 
upon  an  arithmetical  increase.  The  present  issue,  however,  gives  all  esti- 
mates in  proportion  to  population  by  geometrical  ratio,  and  which  gives  a 
more  rational  uniform  increase  than  has  been  previously  observed.  This 
is  seen  in  Table  Wl. 

The  same  form  of  nomenclature  and  classification  that  was  introduced 
into  the  previous  issue  has  been  retained,  since  it  is  believed  that  it  con- 
forms more  correctly  to  tlie  present  understood  a'tiology  of  disease. 

Changes  have  therefore  been  made  which  may  seem  arbitrary,  but  are 
surely  more  satisfactory  as  a  classilicalion  than  that  lueviously  used. 


iv  FORTY-SIXTH   REGlSTRATlOi^   REPORT.  [1898. 

Under  the  class  of  Zymotic  Diseases  we  have  previously  had  Miasmatic 
Diseases  as  Order,  or  Group,  One  ;  and  Enthetic  Diseases  as  Order,  or 
Group,  Two.  As  the  word  Miasmatic  is  inappropriate  at  the  present  day 
to  such  diseases  as  diphtheria,  measles,  and  scarlet  fever,  and  as  these 
are,  with  many  other,  dependent  upon  the  introduction  into  the  system  of 
a  morbific  material,  they  are,  therefore,  contagious  or  infectious.  As 
some  controversy  is  liable  to  arise  as  to  the  preference  in  use  of  either  of 
these  terms,  it  has  been  thought  desirable  to  use  the  word  Communicable, 
which  will  include  both.  In  this  group  have  been  gathered  all  diseases 
acknowledged  to  be  dependent  upon  the  presence  of  some  morbid  entity 
which  in  some  instances  has  been  demonstrated  to  be  due  to  a  micro- 
organism, while  with  others  it  is  assumed  by  analogy  to  these  conditions 
that  they  may  be  due  to  the  same  cause. 

A  more  extended  explanation  of  the  reclassification  of  these  diseases 
will  be  found  under  Names  of  Causes  of  Death,  in  Appendix  A,  page  283, 
of  this  report. 

Respectfully, 

GARDNER  T.  SMARTS, 

State  Begistrar. 


CONTENTS 

See  Index,  page  309. 


General,  Tables. 


Table  I.  General  summary  of  the  birtlis,  marriages,  ami  deaths, 
in  1898,  ill  each  town  and  each  county  in  the  State,  showing  the 
number  of  births,  the  sex  and  parentage  of  those  bom  ;  the  num- 
ber of  marriages,  with  the  nativity  of  those  married  ;  the  number 
of  deaths,  with  the  sex  and  nativity  of  those  who  died  ;  the  aggre- 
gate and  average  age  of  the  decedents  of  each  sex,  and  of  tlie 
whole  number  of  decedents  whose  age  was  given 2-5 

T^VBLE  II.  Births  ;  showing  the  number  of  each  sex  bom  in  each 
month  of  the  year,  in  the  several  divisions  of  the  State 6-7 

Table  III.  Plurality  births  ;  arranged  by  months,  sexes,  and  di- 
visions of  the  State,  and  showing  the  nativity  of  the  parents 8 

Table  IY.  Marriages ;  the  number  in  each  month  and  in  each 
quarter  of  the  year,  in  the  several  divisions  of  the  State 9 

T.UJLE  y.  Deaths;  sliowmg  the  number  of  decedents  of  each  sex 
in  each  month,  in  the  several  divisions  of  the  State 10-11 

Table  VI.  Deaths  ;  showing  the  number  of  each  sex  that  died  at 
certain  stated  periods  of  life,  hi  each  town  and  division  of  the 
State ;  also  the  population  of  every  town  and  division,  with  the 
percentage  of  deaths  to  population 12-19 

Table  VII.  Causes  of  death  and  season,  in  1898,  arranged  alpha- 
betically ;  showing  the  number  of  decedents  of  each  sex  from 
each  cause,  ui  each  montli  and  in  the  whole  year,  the  number  of 
native  bom  ;iiul  t'orcitiii  born,  and  also  tlu'  number  of  native  and 
of  foreign  percentage  for  thti  whole  year 20-34 

Table  Vlir.  Causes  of  death  and  age;  arranged  alphabetically, 
and  showing  the  nnniber  of  decedents  of  each  sex  from  eacli 
cause,  in  each  period  of  life or)-49 

Taiu^e  IX.  Classilication  and  percentage;  showing  the  number 
and  percentage  of  deatlis  from  each  cause  and  hi  each  class  of 
causes,  hi  tlic  wliole  State,  and  in  each  division  of  the  State 50-(i3 


Vi  i'OETY-SlXTH   HEGISTEATION   REPORT.  [189^. 

Table  X.  Nosological  classification  of  causes  of  death  in  Khode 
Island,  in  each  of  the  forty-six  years  1853-1898 64-79 

Table  XI.  Occupations  and  ages  at  death ;  showing  the  number 
and  the  aggregate  and  average  age  at  death  of  the  decedents,  in 
each  occupation  and  class  of  occupations,  ui  the  whole  State,  for 
1898  and  for  46  years  and  1  months,  ages  under  20  omitted 80-91 

Table  XII.  Occupations  and  causes  of  death  ;  showing  the  num- 
ber in  each  occupation  and  class  of  occupations,  who  died  from 
each  specified  cause,  during  1898,  omitting  ages  under  20 92-107 

Table  XII.    Supplementary 108-110 

Special  Tables,  Eesults,  and  Comments. 

Births,  Marriage,  and  Deaths.    Table  XIII-XVI 113-122 

Diagram  I.    Birth  Bates 124-125 

Births.    Special  Besults.    Tables  XVII-XXX 127-144 

Marriages.    Special  Eesults.    Tables  XXXI-XLIII 145-149 

Divorces.    Tables  XLIV-XLY 161-164 

"  Katio  of,  to  Marriage,  different  States.    Table  XL VI-        165 

Deaths.    Special  Eesults.    Tables  XLVII-XCY 166-273 

Diagram  II.    Death  Bates 182-183 

"      III.         "         "      274 

Betums  of  the  Medical  Examiners 277-279 

Nomenclature  of  Diseases.    Appendix 281-292 

Suggestions  Concemmg  Physicians'  Certificates  of  Death 283-286 

Laws  ui  Belation  to  Vital  Statistics. 293-297 

Synopsis  of  the  Law  of  Marriage 298-299 

Laws  m  Relation  to  Divorce 300-302 

"      "         "        "  Medical  Examiners  and  Coroners 302-307 

Index , .        309 


REPOKT  rPOX  THK  l(K(ilSTKATI()\ 


15IRTHS,  MAKRTAdES,  AND  DEATHS 


RHODE    ISLAND, 


THE    YKAR    KXDTNCJ    DECEMIJKrv    31,    1898, 


FOR  VARIOUS  YEARS  FROM   18.33  TO  1898, 


INCI.l'STVE 


FORTY-SIXTH    REGISTRATION"    REPORT. 


[1898. 


Table  I. 

General  Summary  of  Births  and  Marriages  in  the  State  of  Rhode 
Island  during  tlie  year  1898. 


BIRTHS. 

MARRIAGES. 

TOWNS 

AND  DIVISIONS  OF  THE 

STATE. 

i 
a 

o 

SEX. 

parentage. 

S 

0 

nativity. 

3 

.2 
"3 
S 

<i5 
> 

a 

fee 
'S 

9-B. 
0  cd 

6 
> 

"S 

d 
1 

0  t- 

g 

0  =s 

.S3 
138 
139 

68 

22 
65 

71 

15 
61 

27 

13 
42 
86 

3 
19 
15 

'    37 

10 
5 

8 

16 
11 

89 

12 
5 

11 

40 
36 

14 
15 

3 
14 
13 

6 
15 

1 

Bristol 

3 

8 

Bristol  County 

310 

137 
39 

7 
798 

152 

77 

23 

3 

398 

158 

60 

16 

4 

400 

103 

57 
14 

190 

141 

58 
15 

87 

18 
31 

36 

16 
14 

30 

1 
7 

6 
1 

East  Greenwich 

4 

445 

95 

68 

85 

1 

"'2' 

65 

..... 

2 

156 

64 

■61 

15 
21 

16 

Kent  County 

981 

20 
17 
25 
577 
80 
3fi 
35 

501 

10 
12 
12 
287 
9 
14 
19 

480 

10 
5 

13 
290 
11 
22 
16 

268 

12 
18 
11 

207 
18 
18 
19 

518 

5 
3 

12 

253 

1 

16 

10 

110 

2 

2 

"52' 

1 
1 
4 

62 

20 
58 
13 
31 
21 

205 

S 

3 

150 
10 
6 
11 

94 

2 
6 
3 
87 
9 
5 
6 

69 

21 

Little  Compton 

1 

Newport  City 

42 

14 

7 
1 

1 
4 

1 

Newport  County'.  . . . 
Burrillville 

730 

167 

503 

227 

238 

232 

21 

23 

197 

221 

67 

81 

1,067 

4,256 

58 

38 

808 

363 

79 

291 

114 

106 

123 

13 

9 

108 

111 

42 

35 

524 

2,182 

26 

22 

417 

367 

88 

272 

113 

132 

109 

8 

14 

89 

110 

25 

46 

543 

2,074 

32 

16 

391 

297 

55 
93 
98 
57 

117 
19 
18 
41 
18 
81 
20 

355 

1,312 

49 

18 

151 

300 

77 
858 

91 
117 

71 

71 

15 
60 
25 
33 
23 
2 
1 

16 

21 

4 

8 

113 

.373 

1 

3 

91 

788 

189 

32 

148 
69 
62 
74 
15 
7 
17 
63 
4 
19 

270 

1,566 

25 

11 

828 

118 

18 
33 
39 
18 
48 
15 

6 

10 

2 

116 

694 

19 

7 
89 

48 

4 
65 

14 
25 
16 

15 

4 
29 

10 
6 

8 
6 

Central  Falls 

21 
9 

9 

East  Provideuce 

Foster 

4 

2 

117 

163 

36 

48 

496 

2,185 

7 

14 

484 

2 

23 

19 

6 

5 

103 

386 

1 

4 

88 

768 

1 

Johnston 

5 

32 

1 

4 
82 
512 
2 
2 
73 

4 

10 

..... 

37 

181 

3 

1 

31 

334 

2 

11 

North  Providence 

North  Smithfield 

1 

2 

35 

Providence  City 

Scituate 

179 
1 

Smithfield 

1 

35 

Providence  County-. 
Charlestown 

8,264 

16 
10 
47 
23 
74 

113 
17 

145 

4,202 

4 
6 
20 
14 
42 
53 
13 
73 

4,062 

12 
4 

27 
9 

32 

60 
4 

72 

2,448 

13 

10 
41 
17 
55 
93 
14 
60 

4,866 
2 

2,610 

15 
25 

4 
26 
31 

8 
71 

1,123 

14 
21 

4 
24 
88 

8 
45 

837 

316 

Exeter 

1 

2 
8 
4 
2 
62 

2 

4 

8 

14 

2 

"'3' 
2 

1 
15 

23 

1 

3 

Narragansett  

North  Kingstown 

South  Kingstown 

Richmond 

1 

2 

1 
1 

Westerly 

6 

14 

6 

Washington  C(junty. 

445 

825 

220 

303 

88 

37 

187 

151 

7 

17 

13 

State  institutions  not  included. 


1898.] 


iiiUTiis,   MAUi;i\ni:s.    wn   kiiaths. 


Ta]{LE  I. — Continued. 

(h'lKi-dl  ,Si(iinn(inj  of  Deaths  in  the  Stale  of  Rhode  Island  durincj 

the  year  1S98. 


DEATHS. 


SEX. 

NATIVITT. 

AGES 

AGGREGATE  AGE 

AVERAGE  AGE 

IN    YEARS. 

V 

tU) 

< 

u 

a 

60 

tn 

m 

»■ 

e 

(U 

O 

<h 

<u 

v 

^ 

S) 

o 

"5 

s 

15 

1> 
3 

E 

^ 
fe 

1 

i 

bo 

< 

> 

19 

8 

11 

15 

4 

7 

11 

366 

503 

52.29 

45.73 

869 

48.28 

109 

53 

50 

85 

24 

53 

56 

2,400 

2,306 

45.28 

1     42.25 

4.700 

43. 12 

84 

38 

46 

59 

25 

38 

46 

1,221 

1,003 
4,472 

.32.13 
40.68 

1     34.85 
39.58 

2,824 
8,459 

33.62 

212 

99 

113 

1.59 

53 

98 

113 

3,987 

40.09 

81 

45 

30 

69 

12 

45 

30 

1,732 

1,308 

38.49 

36.33 

3.040 

37.53 

53 

24 

29 

40 

13 

24 

29 

1.212 

1.260 

.50.50 

43.45 

2.47;i 

46.64 

9 

0 

3 

9 

6 

3 

363 

221 

00.50 

73.67 

584 

64-89 

373 

183 
258 

190 

279 

94 

183 

189 

5,715 
9,022 

5,051 
7,840 

31.23 
31.97 

26.72 
30.51 

10,700 
16,862 

28.94 

516 

258 

397 

119 

258 

257 

32.74 

12 

- 

5 

11 

1 

r. 

5 

333 

294 

47.57 

.58.80 

627 

52.25 

17 

9 

8 

17 

9 

8 

340 

431 

37.78 

53.88 

771 

45.35 

15 

10 

5 

15 

10 

5 

476 

319 

47.60 

63.80 

795 

53.00 

349 

109 

180 

274 

75 

169 

179 

6,382 

6,754 

37.76 

37.73 

18.1.36 

87.75 

17 

13 

4 

15 

2 

13 

4 

698 

202 

53.69 

50.50 

900 

52.94 

28 

10 

12 

23 

5 

10 

12 

842 

575 

52.63 

47.92 

1,417 

•  88.. 56 

50 

30 

20 

48 

8 

.35 

20 

1,174 

646 

33.54 

32.30 

1.820 
19.466 

33.09 

494 

200 

23-1 

403 

91 

259 

233 

10.245 

9,221 

39.56 

.39.58 

39.57 

95 

40 

49 

74 

21 

46 

49 

1.720 

1.470 

37.39 

30.00 

3.190 

33.50 

218 

118 

100 

147 

71 

118 

100 

3,144 

2.602 

20.64 

20.  Oi 

5.740 

20.36 

17J 

89 

83 

144 

28 

89 

83 

2,799 

3.040 

31.44 

43-93 

0.4J5 

37.47 

146 

72 

74 

97 

49 

72 

73 

2.502 

2.672  : 

3-1.75 

36.60 

5.174 

:».08 

123 

04 

59 

98 

25 

04 

59 

2.292 

2.109  1 

35.81 

30.70 

4.401 

36.27 

17 

12 

5 

16 

1 

12 

5 

482 

200  i 

40.17 

52.00 

742 

43.05 

27 

10 

17 

25 

2 

10 

17 

443 

1.126  1 

44.30 

06.24 

1..5fi9 

.58.11 

130 

70 

00 

88 

42 

70 

60 

2,471 

2.0.50 

.35.30 

34.17 

4..52I 

34.78 

115 

54 

01 

04 

51 

54 

61 

ijm 

2,028  j 

28.90 

S:i.2b 

3.592 

31.23 

35 

18 

17 

24 

11 

17 

17 

543 

947  1 

31.94 

.55.71 

1.490 

43.82 

52 

42 

10 

30 

10 

42 

10 

1.424 

483  j 

.33.90 

48.30 

1.907 

.36.07 

543 

m) 

203 

339 

204 

280 

203 

9,905 

9.645 

35.59 

36.07 

19.010 

30.11 

2.929 

1.489 

1.440 

2.032 

897 

1,489 

1,440 

46,0-36 

50.553 

31.. 32 

35.11 

97.189 

.33.18 

53 

22 

31 

40 

7 

22 

31 

1,240 

1..322 

50.30 

42.05 

2.562 

48.. 34 

31 

19 

12 

28 

3 

19 

12 

542 

ti04 

28.. 53 

50.33 

1.146 

.30.97 

458 

235 

223 

317 

141 

235 
2.039 

223 

.5,513 

6.080 

23.40 
31.50 

27.20 
35.02 

ll,59:i 
170.937 

25  31 

5,144 

2.040 

2.504 

3.575 

1.569 

2,503 

83,280 

87,657 

3;j.2i 

15 

^ 

S 

13 

2 

7 

8 

407 

802 

58.14 

.37.75 

709 

47.27 

13 

0 

7 

12 

1 

6 

7 

426 

405  1 

71.00 

57.86 

831 

63.92 

49 

20 

23 

48 

1 

20 

23 

1,-368 

1.299 

52.62 

50.48 

2.067 

54.43 

13 

5 

8 

12 

1 

5 

H 

188 

443 

37.00 

55.. 38 

031 

48.. 54 

03 

.32 

31 

57 

6 

32 

31 

1.842 

1.571 

.57.50 

.50.08 

.3.413 

54.17 

83 

40 

43 

79 

4 

40 

43 

1.975 

2.210 

49.37 

51.40 

4.185 

50.42 

24 

12 

12 

21 

3 

12 

12 

718 

472 

59.83 

.39.33 

1.190 

49.58 

109 

03 

46 

82 

27 

63 ; 

46 

2.811 

2.107 

44.02     ^ 

45.80 

,4.918 
18.544 

45.12 

309 

191 

178 

324 

45 

191 

178 

9,735 

8,809  \ 

50.97     1 

49.49 

50.25 

FOETY-SIXTH   REGISTEATlOlSr   REPORT. 


[li 


Table  I. — Continued. — Eecapitulation. 

General  Summary  of  Births  and  Marriages  in  fJie  State  of  Bhode 
Island  duriny  the  year  1898. 


BIRTHS. 

MARRIAGES. 

i 
a 

3 

o 
.a 

SEX. 

PARENTAGE. 

a 

o 

NATIVITY. 

COUNTIES. 

0) 

Is 
S 

6 

> 

i 

cS  o 

II 

□ 

6 

> 

Iz; 

"S 
o 

c^ 
0  G 

^« 

cS  o 

15 
21 
15 
334 
17 

a 

O  =8 

310 

981 

,   V30 

8,264 

445 

153 
501 
863 
4,202 
225 

158 
480 
367 
4,062 
220 

103 
268 
297 
2,442 
303 

141 

518 

300 

4,266 

82 

37 
110 

62 
768 

37 

29 
85 
71 
788 
23 

87 

205 

189 

2,610 

187 

36 
94 

118 
1,123 

151 

30 
69 
48 
837 

7 

6 

21 

Newpoetj 

8 
316 

Washington 

12 

996 

991 

402 

Whole  State 

10,730 

5,443 

5,S8T 

3,413 

5,307 

1,014 

3,278 

1,522 

363 

1898.] 


BIRTHS,    M.VI{KIA(;i:S,    AND    DKATHS. 


Table  I.— Continued. — Recapitulation. 

General  SuDinKiri/  of  Deaths   in   fhe  State  of  Rhode  Island,  Jnj 
Cniinfirs,  (Jnrinij  the   year  1S9S. 


DEATHS. 


AGES 

AGGREGATE  AGE 

AVERAGE  AGE 

IN   YBAns. 

IN   YEARS. 

< 

to 

a 

bt, 

s 

S3 

< 

15 

oi 

m 

oj 

oi 

a 

ID 

a> 

<u 

<u 

o 

CO 

Si 

03 
B 

> 

'5 

V 

i 

a 

m 

0) 

S 

< 

A  vera 

212 

99 

113 

159 

53 

98 

113 

3.987 

4.472 

40.68 

39.58 

8,459 

40.09 

51G 

258 

258 

397 

119 

258 

257 

9.022 

7,840 

34.97 

30.51 

16.862 

32.74 

49-1 

2G0 

234 

403 

91 

259 

233 

10.245 

9.221 

39.56 

39.58 

19,466 

39.57 

5,144 

2. 640 

2,504 

3,575 

1,569 

2,639 

2.503 

83,280 

87,657 

31.56 

35.02 

170,937 

33.24 

3C9 

191 

178 

324 

45 

191 

178 

9,735 

8,809 

50.97 

49.49 

18,544 

50.25 

170 

lOG 

64 

99 

71 

106 

64 

5,689 

3,651 

53.07 

57.05 

P,340 

54.94 

6,905 

8,554 

3,351 

4,957 

1,948 

8,551 

3,348 

121,956 

121,650 

34.34 

36.34 

843,008 

35.31 

FOKTY-SiXT'Bt    SEGISTRATIOI?    R£P'OE,t. 


[189^ 


Table  II.— BIETHS,  1898. 
Arranged  hy  Months,  Sexes,  and  Divisions  of  the  State. 


SEX. 

.a 

DIVISIONS  OP  THE  STATE. 

MONTHS. 

3 
o 

a 

o 

m 

a 

3 
O 

a 
a 

(D 

3 
2; 

o 

a 

3 

o 

^  to 

o  a 
o& 
a  o 

S 
'>■ 
o 

u 

1 
a 

o 

o 

"5 

o 

a 
a> 

"2 
V 
o 

4) 

O 
O 

m 

a 
o 

o 

a 
a 
o 
o 

S 
to 

a 
2 

January 

Males 

484 

15 

36 

10 

41 

68 

31 

54 

178 

41 

10 

Females. . . 

453 

10 

48 

6 

39 

67 

18 

41 

175 

34 

15 

Total 

mi 

25 

84 

16 

80 

135 

49 

95 

353 

75 

25 

February 

Males 

437 

14 

57 

4 

23 

55 

21 

43 

168 

38 

14 

Females . . . 

408 

11 

34 

7 

15 

64 

24 

38 

163 

33 

19 

Total 

845 

25 

91 

11 

38 

119 

45 

81 

331 

71 

33 

March 

Males 

Females . . . 

461 
443 

17 
10 

32 
39 

12 
1 

19 
19 

98 
82 

26 
19 

38 
47 

163 
175 

32 
30 

94 

21 

Total 

904 

27 

71 

13 

38 

180 

45 

85 

338 

62 

45 

April 

Males 

Females . . . 

415 

371 

17 

8 

38 
22 

1 

8 

15 
19 

68 
60 

23 
19 

53 
35 

150 
167 

32 
17 

18 

16 

Total 

786 

25 

60 

9 

34 

128 

42 

88 

317 

49 

34 

May 

Males 

Females. .. 

446 
452 

14 
13 

41 

48 

4 

7 

21 
16 

83 

78 

21 

22 

31 
49 

177 
165 

37 
29 

17 

25 

Total 

898 

27 

89 

11 

37 

161 

43 

80 

342 

66 

42 

June 

Males 

Females . . . 

435 

443 

10 
11 

47 
42 

4 
4 

12 
26 

63 
65 

21 

29 

42 

47 

182 
163 

36 
36 

18 

20 

Total 

878 

21 

89 

8 

38 

128 

50 

89 

345 

72 

38 

July 

Males 

503 

11 

39 

8 

'>?^ 

82 

90 

37 

225 

33 

95 

Females . . . 

475 

13 

39 

9 

33 

80 

21 

37 

194 

33 

16 

Total 

978 

24 

78 

17 

56 

162 

41 

74 

419 

m 

41 

1898.] 


BIRTHS,    MAliKI.U.  i:S,    AM)    DHATJIS. 


Taijle  II.— births.— Continued. 


^IrrdiKjeil  hi/  Months,  Sexes,  (iitd   Dii-isions  of  the  Slok 


M()NT11!>. 


Auffust. 


S(']ttfiiil)er. 


OctoluT, 


SEX. 


Xov(.'inber. 


JJuffinluT 


AVIioIc  Year 


Males  . . 
Females 
Total . . . 

]\rales  . . 
Females 
Total . . . 

Males  . . 
Females 
Total . . . . 

.Males  . . 
Females. 
Total . . . , 

Males  . . , 
Females. 
Total . . . . 

>[ales  .  . . 
Females. 


DIVISIONS  OF  TIIK  STATK. 


lO  o 
1  aH 
1^ 


512 
467 
979 

405 
440 
845 

457 
444 
901 

423 
430 
853 

465 
461 
926 


5,443 


15  41 

15  37 
30 '  78 

44 
20 
25  82 


>,      ■ 

a 

s 

>> 

8, 

Si 

<o 

u 

s 

<u 

o 

*.» 

s  o 

M 

a 

o 

o 

^■<^ 

2 

o 

3 

o 

to 

c 

is 

o 

at 

o 

o 
o 

'A 

a. 

O 

O, 

cu 

^ 

152 


5,2S7  158 
Total 10,730  310 


)01 

4S0 
,)81 


9 
11 
20 

8 

7 

15 

6 

6 

12 

0 

6 

12 


76  287 
771290 


64 

51 

115 

67 

61 

128 


30 
33 

63 

t 

211 

19 
40 


45  32 


57 
102 


46:  23 

62:  19 

1081  42 

49  22 

55 1  29 

104  51 


788  291 

I 
782  272 


46 

56 

102 

42 
45 

87 

50 
54 


104  377 


524 
543 


201 
188 
389 


].j3 
168,  3() 
321  61 


193  40 
169  35 
362  75 


182 
180 
362 

210 
167 


2,182 


17 
29 
46 

23 
20 
43 

19 
16 
35 

26 
12 
38 

14 
11 
•2.^ 


417  225 


2,074  3911220 


153  577  1,570  .563  l,067i  4,256  808,445 

I    '     !    I  I 


FOETY-SIXTH    REGISTRATION    REPORT. 


[1898. 


H 

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MA  i!in.vf;i:s. 


Taijle  IV.— marriages,  LS'JS. 

.IrraiKjtd  hij   Munllis  (iiid    hirisions  of  /he  Slah 


MONTHS. 


January 

February 

:Marcli 

First  ()uarter 


April 
May. 
J  une. 


267 
256 
152 
675 

321 
201 
396 


SiH'ond  (Quarter 91S 

July 186 

Auj,nist 231 

September 332 

Tliird  ()uarter T4S) 

i 

Octolu'r 342 

X«)veinl)er 384 

December 210 

Fourtii  (.Miarter l»36 


DIVISIONS   OF   TIIK   STATE. 


O 


00 

s 

s 

is- 

is 

o 

o 

c-i 

H 

>• 

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c 

3 

O 

X? 

o 

« 

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a, 

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X 

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1 

*: 

« 

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c 

o 

c 

C  1 

> 

o 

o 

« 

h 

>  ' 

7|  16  4  16 

I  '  ' 

9  15  1  11 

2  10  3  4 

:  i  I 

18  41  8  31 


9  19 

6  11 

I 
8  25 

I 
23  55 


3  19 

I 


27  12  23 

I  i   I 

31  13  21 

I  i   ! 

19  3  10 

77  28  54 


46  16  14'  150 


7  21   8j  19: 


.  -.1 


131 

19 

12 

117  27 

1 

11 

73 

9 

19  i 

321 

55 

42 

150 

21 

24 

98 

15 

11 

186 

27 

19 

434 

63 

54 

9!  22 


8  121  0 

I   i 
4  211  3 

I   I 

9  19   6^  16  44 


Wiiolf  Year l3,278 


21 

52 

9 

:«' 

7 

25 

2 

9 

15 

20 

6 

22 

3 

12 

2 

11 

42 

48 

26 

25  57  10.  42116 


87  20.-)  39  150  39 

'   I   I   I 


12 

5 

11 

20 

11 

25 

34 

50 

14 

34 

15 

38 

s 

17 

2.53 

210 
162 
625 

239 
212 
421 

872 


95  14   9'   19r) 

106  19  7  -i-n 

1571  26  19'   314 


3581  59  35 


167|  26,  16 

183  18  19 

I   i 
103   7  21 


730 


321 


■1\1 


37  89   4.->3  51  .">(>   '.Mil 


14.S  -.iTtt  l..")(lti  228  1S7  3. 1.'.7 


10 


FORTY-SIXTH   REGISTRATION    REPORT. 


[1898. 


Table  Y.— DEATHS,  1898. 
Arranged  by  Months,  Sexes,  and  Divisions  of  the  State. 


SEX. 

Whole  State. 

DIVISIONS  OF  THE 

STATE. 

MONTHS. 

c 

o 
o 

3 

m 
fQ 

c 

3 
O 

o 

S 

o 
a 

>> 

s 
o 

> 
o 

;-< 

CL, 

>> 

o 

<o 
o 

s 

p 

O 
C 

a 

O 

o 

1 
O 

o 

a 
o 

bSl 

a 
'i 

O 

a 

CO 

January 

Males 

287 

6 

17 

6 

10 

49 

11 

28 

112 

18 

21 

9 

Females  — 

253 

9 

21 

4 

10 

50 

5 

18 

105 

7 

18 

6 

Total 

540 

15 

38 

10 

20 

99 

16 

46 

217 

25 

39 

15 

February 

Males 

WP, 

7 

16 

8 

9 

49 

10 

17 

108 

25 

8 

6 

Females .... 

242 

4 

18 

1 

18 

41 

4 

13 

105    16 

15 

7 

Total 

505 

11 

34 

9 

27 

90 

14 

30 

213 

41 

23 

13 

March 

Males 

Females 

315 

267 

14 
10 

12 

19 

11 
9 

14 
12 

47 
42 

13 

6 

26 
16 

129 
113 

22 

22 

21 
14 

fi 

4 

Total 

582 

24 

31 

20 

26 

89 

19 

42 

242 

44 

35 

10 

April 

Males 

Females 

307 
2G9 

5 
9 

26 
26 

6 
5 

9 
12 

50 
46 

14 
13 

28 
24 

129 
96 

18 
26 

12 
10 

10 

2 

Total 

576 

14 

52 

11 

21 

96 

27 

52 

225 

44 

22 

12 

Mav 

Males 

281 

1'^ 

'>S 

9 

6 

35 

7 

15 

129 

94 

8 

13 

Females 

287 

15 

23 

2 

22 

35 

14 

23 

117 

19 

12 

5 

Total 

568 

27 

46 

11 

28 

70 

21 

38 

246 

43 

20 

18 

June 

Males 

Females 

280 
219 

15 
10 

17 
12 

1 

2 

15 

22 

36 
25 

10 
3 

29 

18 

115 
94 

14 
13 

20 
15 

8 

5 

Total 

499 

25 

29 

3 

37 

61 

13 

47 

209 

27 

35 

13 

July 

Males  .... 

295 

7 

•>o 

18 

31 

9 

30 

130 

■^l 

18 

6 

Females  — 

300 

12 

20 

3 

9 

36 

10 

28 

148 

17 

15 

2 

Total 

595 

19 

40 

8 

27 

67 

19 

58 

278 

S8 

33 

8 

I  SOS. 


DCATrrs, 


n 


Taule  Y.— deaths.— ( 'ontiim.Ml. 

\  rriim/rd  J)//    .]fi)ii/lis,   Sr.rrs,   diid    Dicisioii^  of  iJir   SInlr. 


SEX. 


Au":ust. 


September. 


October 


DIVISIONS  OP  THE  STATE. 


Males  . . . 
Females . 
Total.... 


Males 

Females . . 
Total 


372 

358 
730 

348 
325 
G73 


Males 258 

Females  — !    285 
-Total 543 


XDveiiiber Males j  25(5 

I  Females —  253 

Total .509 

DtH't'Uibcr Males !  202 


>> 

a 

o  . 

og 

o 

o 

; .  * 

j^ 

CJ 

o  o 

c 

s 

r 

is 

<u 

(D 

V 

^ 

K 

^ 

a 

o 

<->m 

03 

Si 

^ 

fe 

1> 

-  o 

^ 

0,^ 

"3 

^ 

o 

a 

S 

<D 

CL 

o 

a, 

Females !    293     7 


Total 


585 


13 


Wliole  Year. . .    Males '  3,5.54   99 

Females. . . .  3,351  113 

I 
Total (),905  212 


38 
31 
69 

38 
30 

68 

22 
18 
40 

14 
20 
34 

15 
20 
35 


14 


211  58 
17j  52 
38110 


34100    24    41 


13    40;     6    20 

'       i       I 
7j  13    39     8,  32 

'       I 
15    26    79;  14    52 


9j  18 
3     9 


31      4    27 


12 


27 


91  17 

7    21 

16;  38 


26|     3 

571     7 


40      9 


I 
91  169  518118  280 


258 
258 
516145  349996  218  54:3 


144    .34 

1 
1.50    29 

294    63 

147|  16 

135    23 

I 

282    39 

j 

106    12 

I 
114    20 

220    32 

i 

106    1() 

1 

125    20 
231    36 


15  11 

16  8 

34I  19 

i 
I 

15  7 

16  8 
31    15 

24 1  4 
19  7 
4S    11 

i 
9    13 

i 

12!     6 


21 


19 


l:!4     1.")     IT     1:; 


138:   11 


272 


26 


1,489  235 

i 


54  180  478  100  263|  1,440  223 


I       I 


2,929458 


1(1      4 

33    17 

I 


191  10(i 
178;  (54 
369170 


12 


FORTY-SIXTH    REGISTEATIOX    REPORT. 


[189? 


Table  YI.— DEATHS,  1898. 

Exhibiting  the  Whole  Number,  the  Proportion  to  Population,  and 
Number  of  each  Sex,  in  every  Town  and  Division  of  the  State. 


TOWNS 

AND    DIVISIONS   OP   THE    STATE. 


BaiTiiieton. 


Bristol. 


Warren 


Bristol  County. 


Coventry. 


East  Greenwich. 


West  Green wicli 


Warwick. 


Kent  Coukty. 


Jamestown. 


Little  Compton. 


Middletown . 


Newport  City 


New  Shoreham. 


Portsmouth . 


19 

1,755 

109 

7,039 

84 

5,301 

212 

14,095 

81 

5,102 

53 

3,216 

9 

675 

373 

24,143 

516 

33,136 

12 

930 

17 

1,128 

15 

1,494 

349 

22,116 

17 

1,307 

28 

1,780 

15.5 


15.8 


15.0 


15.9 


16.5 


13.3 


15.4 


15.6 


12.9 


1.5.1 


10.0 


15.8 


13.0 


15.7 


DEATHS. 


Sex. 


Males . . . 
Females 

Males . . . 
Females 


Males . . . 
Females 


Males . . . 
Females 

Males . . . 
Females 

Males . . . 

Females 

Males . . . 
Females 

Males. . . 
Females 

Males . . . 
Females 

Males . . . 
Females 


Males... 
Females 

Males . . . 
Females 

Males . . . 
Females 

Males . . . 
Females 

Males . . . 
Females 


*  Geometrically  estimated. 


R08.] 


hi:  ATMS. 


13 


Tadle  A'l.— deaths,  185)8.— Continued. 


K.rJiihitint/  the  Xinnher  of  Deaths  in  each  Period  of  Life,  in  every 
Town  and  Dirision  of  the  State. 


Periods  op 

Life. 

c 

2 

o 

o 

CO 

o 

d 
O 

1 

in 

0 
o 

2 

to 

o 

d 

o 

g 

o 

S 
2 

o 

in 

3 

8 
7 

3 
3 

11 
1:5 

2 

4 

2 
3 

d 
i- 

c 

o 

2 
3 

14 

8 

5 
5 

21 
10 

10 

8 

1 
3 

o 

a 

o 

i 

i 

> 

o 

-a 
§ 

o 

■6 

o 

c 

1 
1 

3 

3 
5 

4 
9 

3 
2 

2 
3 

1 
1 

6 

1 
4 

2 
11 

2 
4 

2 

1 

1 
2 

4 
9 

3 

8 
11 

1 
1 

2 
3 

1 

1 

1 

1 

l-> 

1 
2 

2 
4 

3 

G 

1 

1 

1 

1 
1 

2 
2 

5 
3 

4 
.5 

10 

8 

2 
3 

8 

4 

1 
1 

27 
17 

38 
25 

4 
5 

2 
5 

7 
10 

6 

1 

2 
4 

3 

1 

9 

7 

20 
13 

2 
2 

1 
1 

3 

1 
1 

q 

1'^ 

2 

2 

1 
1 

!•> 

1 

2 

2 

4 

1 
1 

1 

2 

■T) 

1 

1 
1 

1 

1 

1 

1 

1 

■J  2 

14 
y 

1 
1 

1 

s 

4 

1 

1 

1 

1 

19 
10 

30 
22 

.... 

(iO 

13 

12 

14 
14 

8 
3 

9 
5 

1 

3 

3 
3 

2 

1 
3 

5 

7 

5 

7 

1 

2 

1 
3 

1 

4 

(i 

0 
9 

7 
14 

12 

19 

1 

6 
14 

11 

18 

1 

13 

8 

U) 
12 

1 

10 

18 

14 
25 

1 
1 

2 

(■>.") 

77 

7S 

1 

1 
1 

1 

1 

1 

2 
2 

1 
2 

20 
1(5 

3 
1 

5 
4 

1 

1 

1 

1 
1 

1 

1 

1 
1 

l(i 
17 

3 
1 

1 

1 

1 

1 

1 

1 

1 

21 
17 

1 

1 
2 

1 

17 
24 

1 

40 

8 
9 

1 
3 

3 
3 

3 

(i 
2 

1 
2 

3 
4 

1 

10 
9 

1 

3 
3 

22 
13 

3 
1 

1 
1 

8 
14 

1 

1 

3 
1 

1 

') 

3 

1 

1 

14 


fORTY-STXTH    IlEGISTRATIO]Sr   REfOET. 


[1898. 


Table  VI.— DEATHS,  1898.— Continued. 

Exhibiting  the  Whole  Number,  the  Projjortion  to  Population,  and 
Number  of  each  Sex,  in  every  Town  and  Division  of  the  State. 


TOWNS 

AND   DIVISIONS  OF  THE   STATE. 


Tiverton 


l^EWPORT  County. 


Burrillville. 


Central  Falls. 


Cranston. 


Cumberland. 


East  Providence. 


roster 


Glocester 


Johnston. 


Lincoln , 


Korth  Providence . 


I^orth  Smith  field. 


Pawtucket 


qj  O 


Providence  City 2,929 


56 

3,038 

18.4 

494 

31,793 

15.5 

95 

5,830 

16.3 

218 

17,462 

12.5 

172 

10,284 

16.7 

146 

8,932 

16.3 

123 

11,432 

10.8 

17 

1,129 

15.1 

27 

1,549 

17.4 

130 

12,. 529 

10.4 

115 

9,213 

12.5 

35 

2,820 

12.4 

52 

2,743 

18.9 

543 

36,088 

15.0 

929 

154,333 

19.0 

DEATHS. 


Sex. 


Males . . . 
Females 

Males . . . 
Females 

Males . . . 
Females 

Males . . . 
Females 

Males . . . 
Females 

Males . . . 
Females 

Males . . . 
Females 

Males . . . 
Females 


Males. . . 
Females 

Males . . . 
Females 


Males . . . 
Females 

Males . . . 
Females 

Males . . . 
Females 

Males . . . 
Females 

Males . . . 
Females 


*  Geometrically  estimated. 


I8n8.] 


UKATIIS. 


15 


Taklk  VI.— deaths,  IH'JH.-Coiitiiinod. 

hj.vhihiftiKj  the  Nuvihrr  of  Deaths  in  ectrJi  Period  of  Life,  in  every 
Town  (inil  Division  of  Hie  S((tle. 


Pbkiods  of  Life. 


oj 

CO 

•* 

o 

O 

o 

- 

ej 

eo 

14 


4S 


17 


14 


10 
9 


1 

4 

1 

s 

1 
2 

1  ' 

(is 

4 

.")S 

14 

7 

8  ' 

4'.» 

88 

.S4 

22 

04 

(i.5 

2(5 

11 

IC 

o 

o 

<D 

<N 

O 

O 

o 

o 

in 

o 

i;3  ^ 


41 


1 
1 

15 
15 

2 
8 


3 
1 

111 
■_'i) 


IS     r 


2 
2 

30 
17 

3 

2 

() 

8 


25 
19 


10 
4 


IS 


h 

o 

> 

o 

o 

o 

•a 

o 

o 

o 

e 

g 

p. 

s 

s 

18 


II     I  in     |; 


;> 

2 

(5 

8 

2 

1 

27 

20 

37 

2(5 

80 

2(5  ' 

4 

8 

7 

8 

4 

4 

1 

18 

17 

2  ^ 

.") 

11 

4  : 

.") 

10 

i 
11  ! 

9 

18 

9 

10 

4 

(5 

.^ 

12 

5 

7 

8 

12 

8 

2 

0 

2 

2 

1 

2 

1 

5 

3 

2 

8 

4 

(5 

7 

4 

(5 

^! 

8 

4 

7 

y 

5 

3 

1 

2 

2 

2 

1 

1 

2 

7 

1 

2 

88 

42 

25 

21 

37 

85 

1(51 

144 

107 

1(58 

15G 

182 

1 

2 
19 


1 


4  !. 

2  |. 

18  ' 

8  j 

51  ! 

m 


7  I     1 


3 
11 


16 


FORTY-SIXTH    REGISTKATION    REPORT. 


[1898. 


Table  VI.— DEATHS,  1898.— Continued. 

Exhibiting  the  Whole  Number,  the  Proportion  to  Popidatioyi,  and 
Number  of  each  Sex,  in  every  Town  and  Division  of  the  State. 


TOWNS 

AND  DIVISIONS  OF  THE   STATE. 


* 

J3 

a> 

o 

O 

1i 

ce 

^ 

o 

o 

H 

Oh 

Scituate. . . 

Smitlifield. 


WOONSOCKKT  , 


53        3,492      15.2 


31        2,325  I    13.3 


458 


Providence  Covnty 5,144    307,752 


27,591 


Charlestown 


Exeter. 


Hopkinton . 


Narras'ansett 


Xorth  Kinastown. 


South  Kinsstown 


Richmond. 


Westerly. 


Washington  County 


State  Institutions  . 


15  964 


13  869 


49 


2,679 


16.6 


16.7 


15.6 


14.9 


18.3 


13        1,302  i    10.0 


63 


4,571 


13.8 


83        5,376      15.4 


24 


109 


1,623      14.8 


8,049 


13.5 


369      2.5,433      14.5 


170 


2,204  i    77.1 

i 


DEATHS. 


Sex. 


Males . . . 
Females 

Males... 
Eemales 

Males . . . 
Females 

Males . . . 
Females 

Males . . . 
Females 


Males . . . 
Females 

Males . . . 
Females 

Males . . . 
Females 

Males . . . 
Females 

Males . . . 
Females 

Males . . . 
Females 

Males . . . 
Females 

Males . . . 
Females 


Males. . . 
Females 


*  Geometrically  estimated. 


1808.] 


i)i;.\Tiis. 


17 


T.MJLK  VI.— DEATHS,  18!)8.-Coiitiiino(l. 

KxhihituKj  llic  Xiimher  of  Deallis  in  each  I'criod  of  Life,  in  erertj 
Town  and  Division  of  the  Slate. 


Periods  op  Life. 


ni 

o 

o 

o 

o 

d 

d 

O 

o 

o 

O 

O 

O 

O 

•«> 

in 

OJ 

n 

« 

to 

3  i 
1  ' 

12  I 
11 

140 
124 


2 
5 

53 
54 


41 
30 


4 
2 

29 
22 


8 
9 

73 
65 


3 
2 

46 
30 


20 
15 


16  !  14 
24  I  17 


m    222  199  223 
68  220  224  195 


14 

8 


11 
15 

17 


4 
2 

2 
2 

0 
5 

15 
15 

14 


17 
19 

274 
258 


7 
1 

13 
9 

17 

13 


4 
2 

2 

2 

15 
19 

264 
'-77 

1 
1 


29 

28 


15 

It; 


d 

00 

2 

80  to  90. 
90  and  over. 

i 
t 

a 

s 

'> 

0 

5 

2 

3 

7 

102 
133 

9 

, 

15 
11 

221 
226 

4 

1 

2 

1 

11 
29 

1 
1 

'? 

•> 

2 
8 

3 
0 

1 

6 
1 

3 

•? 

2 

7 
3 

7 
9 

2 

3 
6 

8 
5 

4 

1 
2 

1 
2 

IS 

5 
6 

26 
•_>o 

lii 
1 

s 

44 

i:. 
II 

2 

,>< 

2 
1 

18 


FORTY-SIXTH    REGISTRATIOJST    REPORT. 


[T898. 


Table  VI.— DEATHS,  1898.— Continued. 

(  RECAPITULATION. ) 

Exhibiting  the  Whole  Number,  the  Proportion  to  Population,  and 
Number  of  each  Sex,  in  every  Division  of  the  State. 


DIVISIONS   OF  THE   STATE. 


Bristol  County. 


Kent  County. 


]S'ewpoet  County^ 


Providence  County. 


Washington  County 


State  Institutions  . 


Whole  State. 


o 

1 

„'0 

a 

U^ 

o 

as 

!^ 

ft 

CS 

X  O 

0 

^^ 

a 

ai-i 

o 

<B  O 

PM 

fi 

212      14,095  ;    15.0 


510      33,1.36      15.6 


494 


31,793      15.5 


5,144    307,152 


369 


170 


6,905 


25,433 


2,204 


DEATHS. 


Sex. 


j    Males . . . 
!    Females 

!    Males . . . 
Females 


Males . . . 

Females 


16.7 


14.5 


77.1 


414,413      16.7 


Males 2,640 


Females 


Males . . . 
Females 


Males... 
Females 


Males . . . 
Females 


^03 


99 
113 

258 

2.58 

260 
234 


2,504 

191 

178 

106 
64 

3,5.54 
3,351 


i 


SOS. 


DF.ATirs. 


]'.) 


Taule  VI.— deaths,  1808.— Coiitimi(!.l. 

(  i!i;(Ai'i'rii,.\'n<)\.) 

Kd-hilntiiKj  lite  yiniiJicr  of  Deailis  in  each  Period  of  Life,  iv  evrnj 
Division  of  the  State. 


Pbbioss  of  Life. 


u 

at 

V 

;» 

in 

& 

0) 

m 

"T 

•o 

O 

■o 

o 

o 

O 

o 

o 

&. 

" 

(M 

CO 

-1' 

lO 

22 

77 
78 

r,o 
48 

675 
548 

27 
22 

3 
4 

857 
722 


14 


14 


140   53 


124 


168 
160 


68 
68 


89 


52 


4!   2 


11 


83 


77  30  01 


12 
19 

15 

15 

222 
220 

14 

8 

8 
3 

275 


30 


25 


17 

19 

199 

223 

224 

195 

11 

15 

15 

15 

17 

14 

3 

5 

270 

301 

288 

257 

14 
25 


26 

274 
258 

13 
9 

17 
13 


21 
16 

30 
22 

20 
30 

264 
277 

29 
28 

15 
16 


356  379 


344  389  329 


10 

8 

38 
25 

37 


7 
10 

20 
13 

19 


26!  19 


221 
226 

44 
33 

15 
11 

3(55 


102 
133 

26 
20 

12 
7 


186   21   3 


202!  4;; 


20 


FORTY-SIXTH    EEGISTEATIOK    REPORT. 


[1898. 


'^ 


!;S    rO 

i| 

'^  s 

e  ^ 

<ii 

s  ^ 

Cj 

q:) 

d 

^ 

^  ^ 

Qi 

s   ?e 

r^ 

«   « 

-» 

o 

S-. 

^ 

00 

S      C) 

^ 

Oi 

S  -o 

^ 

en 

i>3 

1—1 

(-»i       ^^ 

;^ 

S   Si 

S 

.^ 

<;) 

^1 

o 

^ 

^  ^ 

■S 

S 

■   r^ 

P 

o    ~ 

S 

O 

[^ 

^      t-^ 

^ 

O 

.,   c 

^    o 

>i> 

:/} 

Cl 

W 

^       (ii 

^ 

he  Number  of  e 
Number  of  N 

f^ 

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[1898. 


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FORTY-SIXTH    KEGISTKATION    REPOIIT. 


[1898. 


180S.] 


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26 


FORTY-SIXTH    REGISTRATIOlSr    REPORT. 


[1898. 


COCOrHTHCiOOO'^i—IO 
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CO  1-1  t-  CO 
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28 


FORTY-SIXTH    REGISTRATIOlSr    REPORT. 


[1898. 


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FORTY-SIXTH    EEGISTEATIOK    REPORT. 


[]898. 


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1898. 


CAUSKS   OF    nEAtil. 


31 


1 

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FORTY-SIXTH    RECTistllATiOK    EEPORT. 


[1898. 


<a 

S3 
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-1-3 

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CO 


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o 

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1898.] 


CAUSES    OK    DKATII, 


39 


ivxox 


<s5 


§11 


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tH  (N  <M  <M  U3 


COtHi-H  (MlOOqi-HCDd 


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5  Pi 


40 


FORTY-SIXTH    EEGISTRATION    REPORT. 


[1898. 


a 
o 


00 
CO 


ft 

fin 
O 

GQ 

P 

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•ivxox 

00  ^ 

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00 

CO 
CO 

CO 

1— ( 

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1— 1 
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X)  t~  cq  -H  CI 

T-i          ^  r-i 
rH 

tCC<J^rHOOOCOOO' 
d  CO  rH  cq  rH  IX>          CO 



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stated. 

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60 
to  70. 

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rH  10 

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to 

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1898.] 


CAUSES   OF    1) MAT II. 


41 


I     rHCOfMi— IICI~00X-»HI t^i— li— |-O(MO;0t-I.— It— (0-t< 

•'IVJ.i)X  r-i  JO  t~  Ci  r-1  i-O  i-H  1?^  l~  iH  i-< 


CCOOi-li-IOi0005'*i-lOiHiHCOr-lt-»iH 


iH  t-  iH  ?H  i-H 


1-1      •  rH 


Tt<  X  O  CJ  O  i»  ■>* 
iH  ->*  -^  .-(  (M 


Ss? 


»0  (?q   Tt< 


Tt<  CO  <M  tH 


00  CO  rH  1—1 


1-1  CO  CO  CO  iH 


i-{       •  ■<*  iH 


CO 


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•Or.; 
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43 


FORTY-SIXTH    REGISTRATION    REPORT. 


[1898. 


I  o 


CO  tH    1-i  t~  tH  iH  I— I 

CM  iH       tH 


(M  O  T-H  Cq  lO 
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coiHcoxi— ico»oc5(rq^co<M 

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CO      • 
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t-  CM 

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1898.] 


CAUSES   OF   DEATH. 


43 


1VXOJ, 

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b 

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— ; 

90 
and 
over. 

fe 

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THrH       • 

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FORTY-SIXTH   EEGlSTEATlOl^    REPORT. 


[1898. 


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CAUSES   OF   DEATH. 


45 


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o:>       I— 1  ^       1— 1                       iH 

[1898. 

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CAUSES  OF   DEATH. 


47 


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48 


PORTY-SIXTH    REGISTEATIOK   REPORT. 


[1898. 


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CAUSES    OF    DEATH. 


49 


50 


FORTY-SIXTH    REGISTRATIO:sr    REPORT. 


[1898. 


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CLASSIFICATION'    AND    ['ERCf-NTAGf:. 


51 


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[1898. 


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1898. 


CLASSTFTCATION'    AND    I'i:i;(  lA'TAfi  ll. 


53 


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54 


FORTY-SIXTH    REGISTRATION    REPORT. 


[1898. 


•A^unoo  lojsug; 


•j?5unoo  ?nag 


•saMox 


•jS;!0  ;jJ0dAi.9js[ 


•saMox 


■siiB^  I^Jinao 


Oi       Oi       0:^ 


CO      t-      t-      i^- 


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isns.] 


CLASSIFICATION    A  XI)    PERCENTAGE. 


55 


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56 


EOKTY-SIXTH    REGISTRATION    REPORT. 


[1898. 


■ji:)nnoo  lo^sug 


^       CO      -^ 


•yC^unoo  5na3 


•SUMOX 


■jI^IO  ^JOdM.8^ 


■snMox 


■SUM  IB-r;naO 


■^a^Ion'jAVBd: 


■jI^IO  aonapiAOJti 


1-.       OD       O 


•la^ioosnooAi 


^       CN       ^ 


•itiunoo  no^SniqsBA^ 


>;^ 


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6 


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tH  IC  T-l 


1898.] 


CLASSIFICATIOX    AN' I)    PERCENTAGE. 


67 


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58 


FORTY-SIXTH    EEGISTRATIOK    REPORT. 


[1898. 


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1898.] 


CLASSIFICATION'    AN'F)    PEUCKNTAQF:. 


59 


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60 


I'ORTY-SIXTH   ilEGISTRATIOlsr   REPOKT. 


[1898. 


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3 

rH        Oi        CO                                                         (M        C 

4 

NUMBER  OP  DEATHS  IN  EACH  DIVISION 
OP  THE  STATE. 

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1—1 

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l-H 

•A^unoo  ^n83 

Ajnnoo  lo^siaa 

1898.] 


CL.VSSIFICATION    AND    I'ERCEN'T.VGE. 


CI 


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62 


FORTY-SIXTH    EEGISTRATION    REPORT. 


[1898. 


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1898. 


CLASSIFICATION    AND    I'HICCKN  TAf;  K. 


03 


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64 


rOKTY-SIXTH    EEGISTRATION    REPOB.T. 


[1898. 


Table  X. — Causes  of  Deaths  Registered  in  Rhode  Island, 


CAUSES  OP  DEATH.* 

1853. 

1854. 

1855. 

1856. 

1857. 

1858. 

1859. 

1 

ALL  CAUSES 

1,S91 

1,806 

1,970 

2,225 

2,510 

2,793 

2,447 

SPECIFIED  CAUSES 

1,176 

1,655 

1,782 

1,919 

2,222 

2,483 

2,184 

[CLASSES.] 

I. 

ZYMOTIC  DISEASES 

504 

604 

682 

820 

924 

1,124 

915 

J] 

CONSTITUTIONAL  DISEASES 

67 

58 

68 

88 

106 

112 

96 

III. 

IV. 
V. 

LOCAL  DISEASES 

834 

308 
63 

580 

357 

56 

476 

482 
74 

440 

510 

61 

549 
561 

82 

564 
596 

87 

552 

DEVELOPMENT  \L  DISEASES 

532 

VIOLENT  DEATHS 

89 

[GROUPS.] 

J 

489 

588 

668 

804 

891 

1,088 

887 

2.  DiETio  Diseases 

14 

11 

8 

15 

29 

26 

23 

3.  Parasitic  Diseases 

1 

5 

6 

1 

4 

10 

5 

II 

1.  Diathetic  Diseases 

67 

58 

68 

88 

106 

112 

96 

Diseases  of— 

III. 

101 

90 

126 

117 

158 

165 

164 

29 

40 

65 

43 

67 

67 

64 

46 

62 

72 

93 

93 

101 

94 

4.  Digestive  Organs 

14« 

376 

186 

158 

188 

198 

196 

5.  Ueinart  Organs 

6 

4 

13 

10 

26 

17 

33 

6.  Organs  of  Generation 

4 

3 

5 

2 

7 

3 

1 

2 

7 

6 

6 

9 

2 

3 

9 

9 

3 

2 

9.  Organs  of  Special  Sense.    Eye  and  Ear... 

Developmental  Diseases  op— 

IV 

122 
10 

58 
18 

255 

7 
67 

«8 

342 

9 

84 

47 

362 
14 
76 

58 

376 
13 

119 
53 

403 
24 

114 
,55 

.358 

14 

117 

4.  Diseases  of  Nutrition 

43 

V. 

57 

53 

57 

56 

73 

73 

79 

2.  Battle 

3.  Homicide 

3 

9 

1 

1 

1 

1 

4.  Suicide 

3 

3 

8 

4 

8 

13 

9 

15 

20 

19 

14 

30 

14 

22 

100 

131 

169 

292 

258 

296 

341 

*  still-born  Included  in  this  table. 


1898. 


CAUSKS    OK    I)  i:  A  III. 


(J5 


Fur  each  uf  the  FuHij-lSix  1  ea/-.s-,  isr,.;  lo  is'JS. 


I860. 

1861. 

1862. 

1863. 

1864. 

1865. 

1866. 

1867. 

1868 
8,124 

1869. 

1870.  1871. 

1872. 

1878. 

1874. 

i 

1875. 

1876. 

1 
2,8531  8,078 

8,714 

8,818 

8,498 

8.582 

8,142 

8,052^ 

8,602 

8,472 

3,567 

4,449  4,681 

1 
4,506  4,!568 

4.840 

S,6-.i8 

2,858 

2,505 

3,081 

8,255 

8,335 

2,938 

2,827 

2.788 

3,251 

8,270 

3,275 

8,986 

4,344 

4,297 

4,800 

4.095 

1,073 

1,108 

1,032 

1.278 

1,477 

1,.54.<1 

1,172 

1,003 

1.093 

1,413 

1.268 

1,265 

1,.S77 

1,689 

1,690 

1,657 

1,613 

131 

126 

122 

141 

123 

139 

132 

123 

130 

144 

167 

151 

I87j  198 

155 

193 

190 

•  632 

768 

660 

925 

855 

835 

804 

809 

666 

758 

767 

844 

1,081  1,090 

1.103 

1.104 

1.110 

657 

653 

584 

612 

684 

715 

698 

710 

784 

810 

985 

890 

1,195  2,211 

1.199 

1,175 

1.020 

135 

108 

107 

125 

116 

103 

132 

122 

115 

122 

139 

125 

146 

1.56 

150 

171 

153 

1,038 

1,156 

1,002 

1,235 

1,437 

1,525 

1,160 

1,043 

1,076 

1,390 

1,242 

1,235 

1,353 

1,670 

1,662 

1,632 

1,581 

29 

34 

24 

36 

31 

10 

7 

11 

11 

20 

20 

19 

23 

14 

25 

18 

27 

5 

8 

0 

7 

9 

8 

5 

9 

6 

3 

6 

11 

1 

5 

8 

7 

5 

131 

126 

122 

.  141 

123 

139 

132 

123 

130 

144 

167 

151 

187 

198 

155 

193 

199 

170 

212 

170 

203 

217 

202 

207 

2J5 

208 

238 

249 

277 

299 

351 

812 

386 

.346 

73 

108 

113 

99 

124 

99 

117 

115 

116 

128 

120 

146 

190 

193 

217 

191  168 

110 

119 

104 

140 

140 

127 

99 

92 

74 

90 

106 

123 

150 

156 

164 

191  191 

233 

261 

280 

427 

326 

364 

333 

285 

194 

232 

217 

220 

387 

267 

283 

263  284 

29 

27 

25 

35 

28 

26 

29 

43 

46 

40 

48 

57 

77 

85 

85 

85   69 

1 

9 

1 

3 

1 

4 

1 

1 

2 

1 

5 

8 

3 

l'   2 

5 

15 

8 

9 

7 

5 

5 

6 

12 

11 

15 

5 

11 

18 

15 

16 

27 

11 

17 

9 

9 

12 

8 

13 

22 

14 

8 

" 

16 

12 

17 

24 

16 

23 

476 

440 

371 

390 

436 

498 

454 

455 

515 

523 

647 

566 

857 

844 

853 

884 

071 

13 

19 

23 

21 

23 

18 

24 

26 

22 

27 

28 

34 

86 

29 

44 

35 

30 

116 

122 

143 

161 

193 

152 

178 

188 

206 

217 

204 

232 

233 

254 

223 

216 

241 

52 

62 

47 

40 

42 

47 

42 

41 

41 

52 

56 

58 

69 

84 

79 

90 

78 

119 

93 

91 
7 

104 
8 

106 
2 

90 

1 

119 
1 

102 

97 

105 

107 
.... 

106 

126 

145 

128 

143 

131 

4 

3 

1 

5 

2 

1 

5 

2 

5 

2 

3 

' 

4 

12 

12 

8 

18 

6 

12 

11 

15 

18 

15 

27 

19 

18 

8 

18 

26 

18 

37 

18 

21 

20 

34 

40 

83 

30 

48 

51 

59 

1 

43 

87 

70 

1   ^' 

56 

32 

188 

202 

188 

!  217 

209 

207 

171 

105 

888 

800 

1 

137 

249 

i 
376   817 

152 

1 

an? 

! 
213 

66 


FORTY-SIXTH    REGISTRiVTION"    REPORT. 


[1898. 


Table  X. — Causes  of  Deaths  Registered  in  Rhode  Island 


CAUSES  OF  DEATH.* 


1877, 


1878. 


1879. 


1880. 


1881. 


1882 


I. 

II. 
III. 
IV. 

V. 


IV. 


V. 


ALL  CAUSES 

SPECIFIED  CAUSES. 


[CLASSES.] 

ZYMOTIC  DISEASES 

CONSTITUTIONAL  DISEASES. 

LOCAL  DISEASES 

DEVELOPMENTAL  DISEASES. 
VIOLENT  DE  A-THS 


[GROUPS.] 
1.  Communicable  Diseases  . . . 

8.  DiETic  Diseases.  . .  

3.  Parasitic  Diseases 


1.  Diathetic  Diseases. 


Diseases  or— 

1 .  Nervous  System 

2.  Organs  of  Circulation 

3.  Respiratory  Organs 

4.  Digestive  Organs 

5.  Urinary  Organs 

6.  Organs  of  Generation 

7.  Organs  of  Locomotion 

8.  Integumentary  System 

9.  Organs  of  Special  Sense.    Eye  and  Ear. 

Developmental  Diseases  of— 

1 .  Children 

2.  Women 

3.  Old  People 

4.  Diseases  op  Nutrition 


1.  Accident  or  Negligence. 
3.  Battle 

3.  Homicide 

4.  Suicide 


4,692 
4,444 

1,819 

231 

1,817 

1,015 

163 


1,794 
17 


231 


375 
187 
191 
335 
98 
4 
15 
18 


4, 
4,430 

2,000 

185 

1,126 


1,978 
16 
6 

185 


361 

172 

206 

264 

92 

1 

10 
20 


4,386 

1,867 
221 

1,845 
926 
127 


414 
208 
203 
270 
113 

20 

17 


5,021 

4,742 

1,970 
205 

1, 

1,122 
157 


1,949 
21 


205 


415 
237 
210 
278 
119 
7 
15 


5,280 

4,871 

1,87 

239 

1,461 

1,119 

182 


29 
2 

239 


481 
271 
238 
324 
110 
3 
11 


684 


13^ 


648 
26 

228 
64 

135 


591 


220 

79 


113 


706 

36 

273 

107 


247 
82 


5,327 

5,011 

1,776 

213 

1,553 

1,254 

215 

1,742 
32 
2 

213 


484 
252 
214 
43 
118 
6 
25 
17 


Causes  ill-defined  , 


Causes  not  stated. 


49 


210 


843 
22 
283 
106 

178 


45 


254 


233 


*  Still-born  included  in  this  table. 


1808.]  CAUSES    OF    DEATH.  fJ7 

For  each  of  the  Fortij-Six  Yecus,  1S'>3  to  1S08. — Continued. 


1884.  1885.  1886.  1887.  1888.  1880.  1890.  1891.  1892.  1 80S. 


5,413  5,660  6,142  6,61G 
5,852  5,544  6.053  6,5C2 


1.808  1,924  2,121  2,394 


2%;  26J   264 


1,863 
1,370  1.260 
221   201 


1,877 
47 


2,013  2,174 
1.443  1.506 


6,889 
6,81 

2,.S35 

307 

2,258 

1, 


213 


2-^4   216 


2,084  2,34' 


296   262 


527 
358 
299 
393 
215 
14 
84 
23 


843 


267 
122 


178 


22   20 


57 


598 
333 
305 
495 
222 
12 
26 
22 


1,000 

31 

270 

136 

194 

3 
17 


89 


46 
1 

264 


613 
411 
346 
527 
220 
14 
23 
20 


1,053 

29 

278 

146 

206 

2 
16 

35 


2,294 

40 

1 

307 


642 
442 
363 
516 
244 
10 
15 
26 


6,588 
6,500 

2,025 

312 

2.274 

1,646 

243 


1.949 
74 
2 


1,21 
33 
290 
159 

190 

5 
21 


46 


59 


19   38 


554 
467 
402 
541 
272 
10 
18 
10 


1,161 
27 
22 
231 

216 

3 
24 

49 


7,330 
7,142 

2,437 

299 

2,356 

1,789 

271 

2,365 

61 

1 

299 


612 
413 
423 
553 
300 
8 
25 
22 


6,892 
6,823 

2,201 

283 

2,331 

1,731 

274 


1894.  1895.11896.  1897. 


7,739  7,852  7,553  7,902  7,928 

I   ! 

7,677  7,753,7,495  7,819  7.853 


2,464  2,548  2,425  3.563 


805  325 


2,596 

1,980 

332 


2,130  2,405 
59 


283 


607 
485 
378 
513 
300 
15 
20 
13 


1,325 

26 

198 

240 

250 

2 

19 


39   43 


305 


660 
509 


2,701 
1.891 


2.427 

291  300  285 
I 
2,672  2,814:2,870 


1,819 
288 


1,812 


1,935 
336 


2,465  2.366  2.525  2.381 


82 
1 

325 


535 


4651  438 
595  628 
325     877 


38 


291     300 


748 
476 
363 


790 
535 

383 


46 


23 
185 
217 

2as 

1 

40 
35 
34 


4 

256 
241 

309 


600     581 
397     431 


1,467  1,497 


50 
183 
191 


62 
18' 
73 


264     284 


19 


34       81 


285 


760 
556 
371 
595 
472 
53 
22 


1,490  1,598 
40       44 


283 


68'     55 


6S 


•,533 
■,488 

3.292 

304 

2,818 

1,758 

361 


2,348 
44 


304 


7.318 
7,274 

2,039 

315 

2,897 

1 


1,963 
56 


ToTai.  Awn  Pm- 

CINTAOI 

roR  45  ritRx, 
18:>3-1«97. 


315 


784  i 
551 ' 
283 
647 
54' 


209.606  100.00 
200,548   95.04 


73.571 
8,796 
61,40»i 
49,098 
7,077 


72.004 

1,395 

172 


393 


296 


40 


39 


1,457 
48 
253 


26;) 


20 


35 


1,408 
49 
311 


296 


SO 


24 


,790 


17,335 

10.735 

9.311 

16.076 

6.186 

409 

652 

666 

36 


34.&51 
1.301 
9.125 
8,821 

6.703 

14 

137 

823 


1,680 


7,468 


:35.09 

4.19 

29.29 

33.41 

3. 60 

34.34 
.67 
.08 

4.19 


8.S6 
5.13 
4.44 

7.e7 

2.95 
.20 
.31 
.32 
.02 


16.62 

.(-.3 

4.:}5 

1.82 

3.20 
.01 
.06 
.39 


.80 


3.50 


68 


POETY-SIXTH    EEGISTRATIOK    REPORT. 


[1898. 


Table  X. — Continued. 


CAUSES  OF  DEATH. 

1853. 

1854. 

1855. 

1856. 

1857. 

1858. 

1859. 

I. 

Group  1. 

1.  Varicella 

2.  Fever,  Typhus 

"'is 

46 
11 

'"3 

71 
5 

"is 

6 
.... 
'"3 

""2 

63 
4 

'""4 

79 

.... 

58 
8 

'345 

.... 

5 
1 

"32 

4 

27 

"3 

3 

26 
33 

20 

8 

"""s 

31 

1 

1 

63 

"""2 

208 
9 

.... 

12 
10 

.... 

"4 
.... 

3 
53 

""ig 

120 

"""2 

47 

7 

"sos 

13 
1 
1 

1 

'"56 

4 

26 

"4 
4 

19 

39 

9 

14 

"""e 

.   30 

1 

1 

41 

""e 

147 

"i4 

8 

""e 
'""2 

76 
15 

""'9 
141 

"52 
11 
4 

'466 

25 
"""4 

3 

1 

""48 

6 

37 

"'"s 

7 

25 
42 
21 
16 

1 

8 

45 

2 
""65 

'"75 

234 

1 

6 

.... 

20 

7 

.... 
.... 

""4 

42 

6 

""i.3 
166 

""3 

65 
11 
6 

"426 

21 
""'5 

9 
1 

"'44 

12 

44 

1 

7 

4 

42 
43 
21 
14 

'"9 
36 

"""i 

66 

3.  Measles 

3 

4.  Scarlet  Fever 

108 
14 

71 

5.  Small  Pox* 

5 

6.  Diphtheria 

7.  Qiiinsyt 

20 

8.  Tonsilitis 

""8 
2 

9.  Carbuncle 

1 

10    Erysipelas 

3 
2 

.... 

15 

11.  Fever.  Puerperal 

11 

12.  Septicemia  — 

13.  Glanders 

14    Hydrophobia 

1 

15.  Malignant  Postule 

6 

16.  Meningitis,  Cerebro-Spinal 

17.  Tetanus 

'3 

"39 

1 

"u 

54 

3 

18.  Cholera 

19.  Fever,  Malarial 

20   Fever,  Remittent+  

1 
25 

2 

'"2 

48 

1 

21.  Fever,  Typhoid^ 

70 

3 

23.  Parotitis 

34.  Pertussis 

""46 
135 

26.  Gonorrhoea 

27.  Syphilis 

1 

33 

6 

"46 
5 

.... 
349 

10 
1 

4 
1 

"31 
6 

18 

""2 
1 

19 

25 

6 

6 

5 

28.  Hydrocephalus  (Tubercular  Meningitis) 

29    Scrofula 

56 
8 

.30   Tabes  Mesenterica 

2 

31.  Tubercular  Enteritis 

32.  Tubercular  Meningitis 

33.  Tubercular  Peritonitis 

34.  Tuberculosis,  General 

35   Tuberculosis,  Pulmonary 

243 
14 

436 

Group  2. 

1.  Alcoholism— Delirium  Tremens, Intemperance 

2.  Inanition , 

22 

8.  Purpura  and  Scurvy 

1 

Group  3. 
1    Thrush 

1 

"4.5 
2 
13 

1 
4 
2 

28 

22 

12 

4 

3 

11. 

Group  1. 
1.  Gout 

"4i 

2 

43 

3 

7 

III. 

Group  1. 

20 

51 

2.  Apoplexy  and  Paralysis .  \ 

38 

16 

2 

4 
31 

"34 

2 
'"38 

6 

41 

7.  Ne7"ve  Diseases 

Group  2. 

1 

1 
28 

1 

6ff 

*  Includes  8  cases  of  Chicken  Pox.         +  Includes  Mumps.         t  Includes  Yellow  Fever. 
§  Includes  Bilious,  Typhus,  and  Continued  Fevers. 


iSflS.  I  CAUSES    OF    DMATH.  09 

Causes  of  DeaUis  Registered  in  Rhode  Island. 


I860. 

1801. 

1862. 

1868. 

1864. 

1865. 

1806. 

1867 

1868. 

1809. 

1870. 

1871. 

1872. 

1873. 

1874. 

1875. 

1876. 

■■"8 

"ii 

"12 

".30 

"26 

"i6 

"i.5 

"12 

"26 

"19 

"26 

""0 

"24 

"0.3 

"'7 

■"2 

"4 

04 

57 

47 

91 

206 

255 

28 

14 

93 

280 

75 

00 

54 

287 

402 

1K5 

80 

9 

5 

7 

12 

22 

2 

1 

2 

3 

6 

12 

25 

28 

8 

4 

1 

67 

140 

81 

155 

100 

82 

04 

81 

20 

83 

33 

57 

48 

45 

59 

38 

l.^9 

3 

.... 

2 

1 

"2 

.... 

1 
"2 

8 
"1 

"'2 

1 
.... 

.... 

"i 

aii 

14 

ii 

14 

28 

21 

10 

25 

25 

14 

21 

18 

23 

39 

20 

21 

18 

U 

14 

.... 

3 

14 

13 

7 

"1 

8 

12 

10 
"2 

16 

.... 

18 

9 
.... 

17 
.... 

16 
3 

"1 

18 

1 

.... 

18 
"2 

0 

5 

1 

4 

3 

1 

3 

14 

23 

62 

10 

13 

7 

5 

5 

8 

4 

.... 

0 

3 

47 
2 

3 
3 

3 

2 
"2 

5 

5 

8 

2 

8 

5 

2 

1 

H 

1 

1 

2 

1 

1 

1 

68 

94 

84 

128 

110 

283 

152 

126 

86 

100 

157 

1.30 

190 

172 

121 

ISO 

123 

2 

3 

0 

5 

1 

1 

2 

1 

1 

2 

6 

"46 

45 

"is 

24 

31 

"56 

28 

12 

26 

"48 

89 

"25 

"27 

"32 

"45 

"si 

"48 

lea 

103 

147 

174 

201 

175 

193 

172 
1 

191 

190 

182 

218 

229 

234 

250 

400 

1 

339 

2 

5 

3 

2 

5 

2 

5 

5 

3 

5 

0 

9 

3 

7 

8 

8 

K 

63 

50 

47 

49 

63 

50 

41 

57 

70 

51 

71 

44 

.52 

51 

57 

08 

14 

14 

13 

14 

12 

5 

9 

3 

11 

19 

22 

9 

20 

20 

21 

18 

3 

3 

3 

7 

2 

2 

2 

10 

4 

5 

5 

7 

3 

4 

' 

"e 

"'4 

"16 

"9 

"ia 

"io 

"24 

"23 

"is 

"21 

"h 

"is 

505 

523 

sis 

si'j 

498 

547 

520 

503 

517 

555 

577 

585 

000 

584 

536 

657 

000 

26 

30 

22 

32 

27 

10 

7 

10 

10 

18 

17 

ir 

23 

14 

22 

17 

21 

3 

4 

2 

4 

4 

1 

1 

"2 

""3 

"2 

"3 

.... 

5 

S 

4 

4 

3 

8 

5 

2 

a 

4 

3 

4 

11 

5 

2 

5 

4 

3 

4 

2 

4 

1 

3 

3 

1 

2 

2 

i 

1 

2 

1 

"56 

"48 

"46 

"52 

"45 

"ei 

"49 

"49 

"49 

".53 

"oi 

"50 

".55 

"ofl 

"S9 

"50 

"06 

5 

3 

4 

12 

4 

3 

3 

2 

4 

4 

2 

0 

4 

3 

2 

4 

2 

44 

58 

1 

61 

62 

61 
1 

55 

04 
2 

58 

60 

00 

80 

66 

1 

95 
5 

100 
1 

87 

1 

106 

io 

10 

7 

8 

5 

12 

4 

7 

0 

4 

7 

9 

7 

11 

5 

10 

11 

16 

6 

4 

7 

7 

8 

10 

7 

11 

17 

17 

18 

21 

17 

22 

26 

14 

41 

43 

80 

54 

49 

39 

46 

52 

40 

54 

42 

44 

57 

109 

60 

66 

80 

51 

57 

43 

02 

54 

55 

56 

72 

57 

09 

(!4 

77 

.58 

07 

70 

67 

95 

32 

40 

.30 

81 

42 

45 

36 

52 

54 

48 

00 

79 

07 

67 

86 

99 

70 

11 

13 

7 

10 

15 

20 

IS 

14 

13 

14 

18 

16 

20 

19 

13 

32 

19 

4 

11 

6 

6 

8 

7 

4 

12 

5 

5 

4 

"io 

"is 

15 

16 

20 

12 

81 

48 

42 

40 

54 

86 

62 

43 

88 

48 

55 

51 

78 

74 

67 

52 

70 

8 

2 

1 

1 

1 

2 

1 

1 

1 

3 

2 

1 

2 

1 

4 

2 

69 

105 

111 

90 

123 

98 

116 

114 

116 

128 

117 

144 

189 

191 

216 

187 

166 

10 


fowiY-^stxTHi  rectIsTeaTiok  report. 
Table  X;: — Continued^ 


[1898. 


5 

CAUSES  OF  DEATH. 

1877. 

1878. 

1879. 

1880. 

1881. 

1882. 

1883. 

I. 

1. 

2. 

3. 

4. 

5. 

6. 

7. 

8. 

9. 
10. 
11. 
12. 
13. 
14. 
15. 
16. 
17. 
18. 
19. 
20. 
21. 
22. 
23. 
24. 
25. 
26. 
27. 
28. 
20. 
30. 
31. 
32. 
33. 
34. 
35. 

1. 
2. 
8. 

1. 
2. 

1. 
2. 
3. 
4. 
5. 
6. 
7. 

1. 
2. 

3. 

4. 
5. 
6. 

7. 

1, 
2 
S. 

Group  1. 
Varicella 

"si 

86 

1 

435 

3 

"'17 
17 
3 

""3 

"ii 

8 
.... 
136 

"54 
317 

'4 

70 

13 

6 

"27 

685 

15 
.... 

4 
2 

"38 

2 

119 

1 

9 

16 

81 
102 
86 
22 

'"s 

62 

'"e 

166 

"sii 
1 

259 

.... 

25 
9 
2 

"io 

6 

"2 

101 
4 

"43 
311 

"io 

57 
13 
3 

"'36 
645 

15 
.... 

1 
1 

"'56 

8 

125 

1 

13 

24 

79 
137 
83 
17 

'"i.3 

85 

.... 

207 

""9 

468 

"i52 
1 

""17 
15 

"26 
3 

"    "4 

141 

"'26 
364 

"io 

46 
12 
3 

""i2 

652 
15 

""'e 
"37 

8 

125 

2 

9 

24 

88 
119 
96 
19 
3 
14 
76 

"'"2 

235 

"'37 

1.38 

3 

216 

2 

"'"2 
37 
22 

1 

.... 

18 
8 

9 

117 
3 

"68 
327 
2 
4 
56 
15 
8 

"'39 
712 

24 
2 
3 

1 
1 

"'47 

4 

145 

"'14 
29 

107 
146 
101 
32 

"13 

82 

""'2 
269 

"""e 
45 

2 
101 

.... 

30 

28 

.... 

28 
8 

"'"s 

"2i4 

1 

"7i 

344 

'"ie 

49 
14 
4 

""27 
744 

27 
1 
4 

2 

""56 

4 

133 

""e 

21 

95 
154 
111 

23 

'"i4 

87 

2 
250 

Fever,  Typhus 

Measles 

"ii 

62 

5 

492 

4 

'"3 

21 
17 

14 

Scarlet  Fever 

34 

Small  Pox* .' 

2 

Diphtheria 

95 

Quinsy  t 

3 

Tonsilitis 

Carbuncle 

Erysipelas    

""3 

28 

16 

SeptiCcemia 

3 

1 
2 
2 
8 
5 

Hydrophobia 

26 

Tetanus 

8 

Cholera 

1 

21 

Fever  Remittents 

123 
1 

239 

32 
226 
2 
10 
55 
11 
10 

9 

Pneumonia 

400 

Syphilis 

18 

Hydrocephalus  (Tubercular  Meningitis) 

54 
22 

5 

Tubercular  Enteritis 

Tubercular  Laryngitis 

Tubercular  Meningitis 

"25 
665 

12 

29 

Tuberculosis,  Pulmonary 

766 

Group  2. 

Alcoholism— Delirium  Tremens, Intemperance 
Inanition 

29 
10 

5 

8 

3 

Group  3. 
Thrush , 

2 

Worms 

II. 

Group  1. 
Gout 

63 

1 
135 

47 

Ansemia 

7 

169 

Noma  (Canker) 

1 

Mortification  (Gangrene) 

8 
24 

81 
109 
73 
12 
1 
19 
81 

9 

Rheumatism 

27 

III. 

Group  1. 
Cephalitis 

91 

157 

Apoplexy  and  Paralysis.  -  

118 

Insanity 

29 

Chorea 

1 

18 

Brain  Diseases,  etc , 

86 

JSerm  Diseases 

Group  2. 
Pericarditis 

17 

4 
183 

8 

Heart  Diseases,  etc 

308 

*  Includes  8  cases  of  Chicken  Pox.         t  Includes  Mumps.         %  Includes  Yellow  Fever. 
§  I  ncludes  Bilious,  Typhus,  and  Continued  Fevers. 


1898.] 


CAUSES    OF    DKATII. 


71 


Cau-sea  of  Deaths  lieij inter ed  in  Rhode  IsUind. 


1884. 

1885. 

1886. 

1887. 

"i32 

260 

287 
8 

""s 

32 
25 
18 

.... 

.... 

24 

7 

"83 

2 

116 

"ai 

488 
1 

13 

51 

21 

6 

"29 
710 

16 

28 

2 

1 

1 

39 

16 

159 

"is 

34 

112 

206 

122 

64 

1 

17 
91 

29 

5 

377 

1888 

1889. 

1890. 

1891. 

1 
1892.  1893.  1894. 

1895. 

1896. 

1897. 

1898. 

Total  akd  P«r. 

CKNTAOK 
FOH  45  rKAlU, 

18ja-Il>97. 

"is 

97 

'ii9 

1 

"'•i 

25 
12 
13 

"■3 

21 

5 

"29 

'i28 
2 

"43 
363 

56 
20 
15 

".% 
739 

30 
1 

2 

1 
40 

156 

5 

10 

34 

78 
182 
116 

.36 

"ii 

83 

"3 
290 

"45 
91 

"99 

1 

.... 

36 
19 
10 

.... 

16 
4 

"34 

105 
2 

"42 
465 

1 

7 

47 

18 

7 

"43 
783 

22 

2J 

3 

"44 

6 

193 

"19 
33 

94 
185 
104 

35 

"23 
86 

10 

4 

344 

"is 

88 

228 

1 

"2 
31 
10 
10 

"io 

8 
"4.3 
"121 

"49 
481 
1 
12 
54 
23 
19 

"41 

827 

12 
20 
3 

2 

1 

47 

15 

159 

"e 

34 

104 

2:W 

107 

49 

a 

14 
92 

21 

a 

310 

"ii 

207 

'igi 

4 

"si 

18 

24 

.... 

2 

22 

9 

"69 

2 

224 

7 

"44 

508 
2 
11 
50 
12 
13 

"32 

800 

.  16 
19 
5 

.... 

"47 

13 

193 

"i9 

35 

133 
211 
156 
43 

a 

16 
81 

23 

6 

413 

"29 
51 

'ilM 

7 

"28 
17 
8 

"2 
1 
9 
7 

"ss 

2 

135 

4 

"77 

483 

1 

13 
58 
17 
11 

"46 

727 

37 

30 

7 

2 

2 
44 
21 
189 

3 
23 
80 

109 
210 
113 
22 
1 
19 
80 

29 

7 

431 

"62 
16 

1 

211 

10 

"2 
22 
19 
14 

"i? 

107 
168 

"76 
569 

"is 

72 
11 
11 

36 

852 

25 
31 
5 

"i 

"46 
19 

16.T 

4 

20 
45 

172 

242 

99 

30 

"23 
46 

27 

8 

378 

"12 
33 

1 

102 

6 

"2 
26 
12 
12 

i 
"io 

3 

"29 

2 

149 

177 

568 

3 

8 

66 

21 

12 

"52 
740 

29 
37 
3 

2 

"35 
20 

177 

1 

15 

85 

178 

aio 

116 

21 

1 

27 
45 

33 

5 

447 

"28 

67 

4 

89 

6 

"4 
25 
80 
13 

.... 

18 
6 

"34 

2 

1.S3 

336 

"25 
655 

"i4 

62 
18 
26 

"56 
759 

36 
22 

1 

".39 
16 
181 

"'ii 

48 

167 
2:w 
124 
27 

"25 
79 

19 

3 

487 

'ioo 

193 

'is? 

6 

"■3 

31 

7 

11 

"i 

40 

8 

""e 
4 

129 

85 

"23 

776 

1 

16 

53 

13 

8 



72 
722 

47 
30 
5 

"i 

1 

39 

23 

205 

"ii 
40 

137 

276 

131 

39 

4 

12 

75 

8 

17 

4 

514 

"'9 
123 

2 
133 

5 

"3 
27 
10 

7 

1 
2 

"is 

6 

"36 

"ieo 

166 

"iao 

665 

"io 

51 

12 

n 
"so 

705 

39 
14 
5 

1 

.2 

7 

20 

214 

"13 
85 

145 
289 
156 
49 
1 
19 
76 
13 

4 
37 
435 

1 

54 

107 

'346 

"7 

3 

20 

15 

.... 

11 
12 

"29 

"i25 

115 

3 

45 

085 

1 

15 

.58 

13 

5 

"7 

8 

46 

799 

24 
11 
3 

'29 
234 

"37 

2 

|4.S0 

72 

T 

20 

252 

13 

8 
.520 

2 

".58 
53 

'288 

"3 
2 

17 
10 

"22 

4 

"42 

iis 

42 

1 

59 
669 

"i2 
17 
12 

7 

"4 
56 

47 
846 

34 
8 
4 

■'si 

226 
"28 

419 

19 
84 
21 
259 
8 

12 

6 

588 

"8.3 

29 

'23i 

"'2 

1 
14 
12 

"19 
2 

"44 

"66 

153 

1 

56 

635 

"2i 
16 
23 
12 

"2 
55 
44 

777 

39 
4 
1 

"24 
254 

"  'k 
23 

469 

103 
1 

17 
286 

17 

IS 

4 

553 

"is 

21 

"2 
2 
9 

22 

"67 

"si 

"76 

75 

1 

96 

542 

"23 

14 

5 

7 

14 

5 

57 

38 

765 

56 
>> 

3 

"is 

279 

"is 

416 

% 

14 

262 

9 

8 

2 

541 

8 

'  i'.aos 

5,860 

221 

8,702 

80 

10 

56 

987 

596 

153 

2 

22 

83 

583 

231 

50 

588 

56 

5,485 

1.3:37 

1.742 

14.652 

23 

319 

2,400 

623 

280 

"is 

119 

1.019 

27,567 

978 
299 
118 

129 
43 

8 

1.951 

397 

5,087 

33 

413 

907 

3.144 

9.137 

1.114 

57 

557 

3,267 

59 

275 

153 

10.307 

..58 
2.79 

.11 
2.72 

.04 

"ios 

.47 
.28 
.07 

".'6i 

.02 
.25 
.11 
.02 
.28 
.03 
2.62 
.64 

■  ■  183 
6.99 
.01 
.17 
1.14 
.:30 
.13 

":6i 

.06 

.49 

13.15 

.47 
.14 
.06 

.06 
.02 

"!93 
.19 
2.42 
.02 
.20 
.43 

1.49 

4.. 36 

.53 
.03 
.26 

.03 

.13 

.07 

4.92 

72 


FORTY-SIXTH    REGISTRATIOlSr    REPORT. 


[1898. 


Table  X. — Continued. 


CAUSES  OF  DEATH. 


1853.   1854. 


1855.    1856. 


1857. 


1858. 


Group  3. 


1.  Epistaxis 

3.  Laryngitis 

3.  Bronchitis 

4.  Pleurisy 

5.  Croup 

6.  Asthma 

7.  Lung  Diseases,  etc. 


Group  4. 


1.  Gastritis 

2.  Enteritis 

3.  Peritonitis 

4.  Ascites 

5.  Ulceration  of  Intestines 

6.  Hernia 

7.  Illeus  (Appendicitis) 

8.  Intussusception 

9.  Stricture  of  Intestines 

10.  Fistula 

11.  Stomach  Diseases 

1 2.  Pancreas  Diseases 

13.  Hepatitis 

14.  Jaundice 

15.  Liver  Diseases,  etc 

16.  Spleen  Diseases,  etc 

17.  Bowel  Diseases,  etc 

18.  Diarrhoea  (Cholera  Morbus) . 

19.  Dysentery 


Group  5. 

1.  Nephritis  (Bright's  Disease,  etc.). 

2.  Ischuria 

3.  Diabetes 

4.  Calculus  (Gravel,  etc.) 

5.  Cystitis 

6.  Prostate  Disease 

7.  Kidney  Diseases,  etc 

8.  Bladder  Diseases,  etc 


Group  6. 

1.  Diseases  of  Male  Organs  of  Generation. 

2.  Ovarian  Diseases 

3.  Uterine  Diseases,  etc 


Group 


1.  Arthritis 

2.  Joint  Diseases,  etc . 


Group  8. 


1.  Phlegmon 

2.  Ulcer 

3.  Skin  Diseases,  etc. 


Group  9. 


1.  Eye  and  Ear. 


Group  1. 


1.  Stillborn 

S.  Cholera  Infantum 

3.  Convulsions 

4.  Cyanosis 

5.  Debility  (Infantile),  Premature  Birth,  etc. 

6.  Teething 

7.  Hemorrhage,  Umbilical 

8.  Icterus  Neonatorum 

Indigestion 

Innutrition 

Spina  Bifida , 


10 
11 
12.  Other  Malformations. 


5 
6 

2 

4 

215 

118 


124 
91 
53 
1 
34 
28 


183 

77 
64 
1 
17 
15 


185 
70 
57 

"17 
35 


1898,' 


CAUSES    OF    DKATIf. 


73 


Causes  of  Deaths  Registered  in  Rhode  Island. 


I860. 

1861. 

1862. 

1868. 

1864. 

1865. 

1866. 

1867. 

1868. 

1860. 

1870. 

1871. 

1872. 

1878. 

1874. 

1875. 

i8;'6. 

'"s 

18 

20 

57 

3 

4 

11 
23 
14 

'"a 

16 
1 

1 

'"9 

""9 

7 
31 

'"12 
48 
49 

1 
1 
8 
1 
2 
1 
15 

.... 

""5 

7 
3 

1 

167 
151 
70 

"42 
31 

"is 

0 
18 
21 
68 

8 
12 

"24 

7 

.') 
9 

"ir 
■■■4 

31 

■■■4 

64 
96 

'"s 

.... 

15 
3 

■"2 

7 

"15 
11 

""e 

146 
126 
70 

"45 
40 

"k 

10 

.... 

7 
17 
76 

3 

4 

30 
14 

7 

""% 

(5 

5 

32 

"3 
66 
52 

■"3 

1 
4 

'"17 
1 

.... 

'"s 

4 
3 
2 

123 
106 
55 
2 
35 
39 

""ii 

.... 

17 
14 
97 
8 
3 

8 

27 

5 

7 
5 

"i 

'"12 

"2 

34 
1 
3 

61 
262 

""4 
4 
4 

"23 

1 

"3 

"9 

7 
"2 

111 
114 
71 

"47 
34 

"13 

.... 

7 
16 
105 
7 
4 

11 
27 
19 

""3 
5 
1 

""4 

'"4 

3 

37 

.... 

102 
110 

"is 
2 

"ie 

4 

.... 

"  7 

9 

1 
2 

138 
133 
73 

"46 

28 

"'8 

.... 

10 
16 
94 

I 

6 
20 
13 

"'5 

7 

1 

""2 

"'4 

3 

20 

1 

4 
90 

188 

.... 

6 
3 

"3 

13 
2 

"4 

""5 

8 
""i 

177 
145 
73 

"62 
81 

"io 

"i 

17 
20 
53 
4 
4 

2 
30 
13 

.... 

9 
1 

"'4 

"'7 

6 

37 

.... 

74 
148 

8 

"'e 
2 

""8 
5 

.... 

5 

8 
2 
3 

172 
110 
88 

"54 
23 

"12 

.... 

19 
10 
50 
4 
2 

9 
34 
11 

"'6 
11 
2 

"'8 

"'.5 

3 

30 

1 

"47 

lis 

17 
.... 

3 

"15 

7 

.... 

""e 

15 

3 

4 

163 
117 
68 

"eo 

30 

"i? 

"2 
22 
18 
30 
5 
2 

7 
19 
9 

5 
6 
1 

"'7 

"4 
4 
23 

"2 

55 
52 

10 

"ii 

3 

"■3 

8 
5 

"'2 

"is 

10 
3 
2 

212 

154 
63 

"47 
28 

"io 

""4 

20 

10 

41 

3 

3 

9 

25 

6 

8 

1 

"2 

""e 
3 

28 
2 
3 

61 

74 

18 

"e 
3 

""i 

14 

4 

"ii 

4 
4 

• 

220 

151 
79 

"84 
24 

"is 

"2 
28 
12 
58 
8 
3 

10 

29 

8 

""e 

5 

1 

""s 

"'6 

2 

37 

""4 
46 

55 

15 

""8 
1 

"2 
16 
C 

"i 

"is 
9 

234 
223 

a5 

"57 
84 

"i4 

"'2 

84 

18 

72 

4 

8 

"36 
11 

"7 
13 

"i4 

"35 
.... 

60 
43 

24 

"5 

4 

19 
3 

5 

11 
2 
3 

228 
172 
83 

"58 
20 

"is 

"2 
26 
12 
60 
4 
40 

16 
15 
24 

"'2 
3 

1 

"is 

"2 
3 

31 

"27 

118 
83 

37 

""7 
5 

"2 

18 

8 

"5 

"ii 

10 
1 
1 

202 

391 
116 

"ioo 

81 

"ii 

"'4 
29 
14 

68 

34 

10 
24 
17 

""4 
5 
2 
1 

"i.5 

"2 

43 

2 

29 
77 
36 

39 

""s 

3 

"'4 

27 
5 

"3 

"is 

10 
5 
2 

228 

285 

97 

"m 

50 

"is 

'"k 
40 
10 
65 
10 
30 

8 
37 
20 

"'6 
1 

"33 

"4 
36 

1 
26 
73 
38 

42 

"5 
4 

"34 
10 

"'3 

"is 

18 
3 
8 

27; 

265 

98 

*i54 
48 

"i7 

"4 
58 
10 
96 
10 
18 

28 
29 
28 

.... 
.... 

"is 

"'4 
48 

1 
11 
73 
36 

40 

"ii 

2 

"3 

35 
4 

.... 

"ic 

9 
3 
4 

246 
318 
100 

'ias 

20 

"is 

■"2 

57 

9 

102 

7 

14 

13 
36 
24 

"7 

8 

"io 

"5 

1 
39 

"5 
86 
50 

88 

"5 

1 

■■■4 
12 
9 

"2 

27 

18 
8 
8 

224 

250 

89 

"75 
22 

"ii 

74 


FORTY-SIXTH   EEGISTRATION   REPORT. 

Table  X. — Continued. 


[1898. 


3 

CAUSES  OF  DEATH. 

1877. 

1878. 

1879. 

1880. 

1881. 

1883. 

1883. 

III. 

Geoup  3. 

'""2 

67 
13 
96 
13 
12 

17 
34 
24 

"12 
9 
2 

"13 

"".5 

3 

44 

"""2 

61 
44 

61 

"'15 
1 

'"4 
20 
12 

""26 

14 
"3 

216 
161 
104 

'"69 
32 

'"19 

'"k 

94 
17 
66 
11 
14 

18 
33 
24 

9 

""io 

'"e 

3 

49 

'"9 

81 

28 

56 
"15 

'"4 

35 

9 

'""7 

""15 

5 
""'2 

192 

247 

133 

3 

93 

25 

""is 

'"e 

86 
9 
101 
16 
20 

27 
44 
27 

"'16 
10 
5 

""12 

"""8 

3 

35 

""'e 

95 
42 

54 

"ie 

1 
.... 

25 
13 

""*3 

"ii 

17 
3 
3 

264 
240 
102 

""92 

28 

'"26 

"'"7 
101 

8 
77 

9 
12 

30 

75 
30 

'"ii 

8 
5 

'"i4 

"""8 

8 

50 

""e 

124 
68 

44 

'"is 

""3 
44 
14 

'"e 

"25 

14 
2 
1 

253 
325 
110 

"ioi 

33 
""2i 

2 

73 

5 

95 

8 
8 

22 
39 
17 

2 

80 
8 

93 
8 

15 

14 
40 

22 

5 

111 

13 

71 

14 

34 

Group  4. 

35 

47 

3   Peritonitis  

40 

1 

5.  Ulceration  of  Intestines 

"'5 

8 

""'7 

12 

3 

.... 

4 

7 

11 

3 

1 

7 

"e 

7 

39 

2 

1 

1.30 
5d 

46 

13 

'"'5 

4 

40 

1 

4 

59 

40 

54 

'"4 
1 

"4 

27 
2 

.... 

"16 

13 
2 
5 

248 
168 
112 

"72 
16 

'"32 

16 

12.  Pancreas  Diseases 

13   Hepatitis 

"7 

6 

38 

30 

155 

54 

Group  5. 

93 

2 

3   Diabetes  

9 
9 

15 

1 

8 

2 
21 
11 

""4 

7 

7.  Kidney  Diseases^  etc 

36 
11 

Group  6. 
1,  Diseases  of  Male  Organs  of  Generation 

'"e 

20 

Group  7. 

15 

7 
2 
3 

242 
239 
83 

2fi 

Group  8. 

18 

2    Ulcer '. 

1 

3   Skin  Diseases,  etc 

IV. 

Group  9. 
1.  Eye  and  Ear 

1.  Stillborn 

253 

242 

126 

17 

5.  Debility  (Infantile),  Premature  Birth,  etc 

6    Teething     

67 
27 



137 
30 

7.  Hemorrhage,  Umbilical 

8.  Icterus  Neonatorum. , 

10.  Innutrition 

11.  Spina  Bifida 

"26 

"19 

1898.] 


CAUSES   OF    DKATir. 


75 


Causes  of  DeciUis  Registered  in  Rhode  Island. 


1 

Tot*!, 

KD  P««- 

18»4 

1885 

1S86 

1887 

1888 

1889 

1690 

1891 

1892 

1893 

1804 

1895 

1896 

1897 

1898 

FOK  *b   YKAKH, 

1    1853-lb»7. 

1 

2 

1 

1 

5 

"ii 

"9 

""9 

8 

"h 

5 

3 

"vz 

"'? 

"ia 

"'fl 

"\h 

"is 

"s 

223 

.11 

118 

108 

174 

170 

228 

260 

275 

247 

308 

815 

254 

274 

276 

226 

286 

4,871 

2.08 

5 

7 

12 

15 

18 

23 

18 

26 

34 

22 

24 

38 

.S3 

18 

19 

1   704 

.34 

80 

94 

90 

113 

79 

80 

83 

67 

89 

50 

32 

80 

24 

17 

9 

8,087 

1.47 

10 

21 

15 

20 

18 

16 

23 

28 

12 

17 

21 

24 

21 

17 

12 

1   454 

.22 

10 

5 

13 

11 

17 

18 

6 

10 

27 

20 

8 

1 

1 

4 

467 

.22 

27 

29 

30 

34 

37 

42 

88 

25 

53 

47 

48 

62 

52 

62 

76 

924 

.44 

76 

64 

S) 

43 

88 

78 

63 

71 

73 

68 

175 

194 

197 

180 

176 

2,3.38 

1.12 

40 

85 

59 

66 

60 

63 

63 

68 

62 

74 

81 

1,112 

.53 

2 

2 

1 

7 

2 

3 

3 

5 

29 

.01 

1 

1 

'"'5 

8 

1 

7 

4 

"'s 

""i 

"'2 

"'s 

37 

.02 

11 

"16 

15 

13 

11 

10 

"'ie 

16 

22 

"is 

15 

19 

"'s 

14 

28 

340 

.16 

8 

17 

13 

15 

22 

80 

20 

18 

21 

16 

17 

24 

29 

25 

45 

506 

.24 

5 

4 

1 

3 

0 

2 

6 

2 

11 

4 

7 

7 

8 

8 

93 

.04 

2 

1 

2 

.... 

1 

1 

3 

3 

.... 

4 

. . .. 

.... 

25 

.01 

.... 

1 

1 

1 

1 

1 

2 

2 

"*i 

12 

.01 

16 

"'22 

29 

84 

24 

33 

35 

"'32 

""i4 

1 

17 

19 

1 

23 

"15 

19 
2 

17 
1 

644 
4 

.31 

'"io 

""e 

"'9 

■"9 

■"3 

7 

""9 

7 

IS 

"i4 

9 

"io 

"28 

7 

14 

252 

"!i2 

5 

9 

2 

12 

12 

11 

15 

•16 

13 

10 

11 

5 

15 

7 

7 

252 

.12 

40 

47 

60 

65 

53 

68 

56 

55 

61 

72 

78 

70 

69 

49 

80 

1,787 

.85 

2 

1 

1 

1 

1 

8 

1 

1 

24 

.01 

7 

'■'8 

10 

10 

10 

"  "7 

'"14 

"is 

"i7 

"7i 

40 

37 

85 

"76 

87 

617 

.29 

131 

104 

110 

151 

110 

114 

131 

112 

160 

162 

105 

79 

58 

62 

60 

3.982 

1.90 

40 

36 

66 

66 

77 

71 

87 

59 

71 

42 

41 

41 

31 

45 

38 

3,098 

1.48 

90 

143 

140 

130 

192 

176 

213 
1 

229 
2 

220 
2 

258 

266 

314 
3 

369 

379 

457 

3,826 
16 

1.82 
.01 

'"25 

"21 

"24 

"22 

"13 

"32 

27 

26 

37 

"46 

"38 

40 

■^i 

"48 

"39 

644 

.31 

.... 

1 

1 

1 

5 

2 

2 

4 

5 

6 

3 

4 

2 

91 

.04 

7 

12 

"23 

17 

10 

18 

36 

15 

"is 

22 

21 

16 

21 

16 

19 

278 

.13 

4 

4 

8 

7 

4 

1 

2 

8 

5 

3 

10 

15 

10 

7 

12 

147 

.07 

39 

25 

24 

39 

21 

34 

16 

16 

39 

44 

47 

31 

27 

8 

14 

947 

.45 

18 

9 

3 

4 

3 

6 

3 

2 

4 
1 

6 

10 

6 
0 

1 

9 

4 

237 
3 

.11 

""12 

*"8 

■■'8 

""5 

"5 

""4 

■■■4 

"s 

6 

"9 

"ii 

17 

"ie 

"'s 

"i2 

141 

"!67 

2 

6 

4 

9 

1 

5 

6 

1 

4 
2 

7 
1 

8 
2 

11 
5 

18 

1 

24 

87 

80 

24 

265 
18 

.13 
.01 

■■32 

"34 

"'26 

22 

"'is 

17 

23 

19 

15 

9 

18 

"23 

"22 

"is 

"12 

689 

.80 

18 

21 

13 

15 

19 

7 

13 

6 

5 

1 

7 

24 

13 

29 

486 

.21 

4 

""2 

6 
3 

1 
4 

7 

■■"3 

2 

7 

4 
3 

1 

4 

70 
160 

.03 

5 

"'5 

"26 

"io 

"i2 

"s 

"4 

.08 

.... 

.... 

2 

10 

11 

5 

8 

4 

86 

.02 

272 

271 

298 

276 

295 

829 

296 

272 

343 

412 

892 

367 

424 

423 

418 

10.561 

6.04 

325 

279 

377 

355 

467 

427  { 

582 

546 

633 

603 

496 

500 

545 

425 

468 

;i  1.892 

6.67 

139 

111 

121 

159 

154 

136  1 

1.50 

137 

162 

151 

147 

120 

102 

65 

49 

4.381 

2.0!) 

5 

6 

"  1 

10 

16 

11  i 

14 

28 

19 

21 

27 

27 

20 

31 

24 

266 

.13 

128 

132 

157 

211 

230 

195 

225 

251 

245 

224 

373 

389 

883 

366 

248 

5.446 

2..')9 

21 

29 

26 

24 

35 

44 

27 

52 

18 
.... 

27 
5 

34 
5 

28 
18 
5 
23 
31 

'"k 

7 
40 
37 

3 

6 

6 

63 

39 

1 

""21 

9! 

751 

85 

1.2.37 
42 
18 

126! 

107 

.59 
.02 
.01 
.06 
.05 

.... 

""4 

"4 

"h 

"s 

"5 

"'8 

5 

11 

9 

9 

68 

.03 

22 

"is 

"15 

■'18 

16 

16 

19 

20 

15 

19 

15 

27 

21 

21 

26 

707 

.33 

76 


FOETT-SIXTH   REGISTEATION   REPOET.  [1898. 

Table  X. — Contimied. 


CAUSES  OF  DEATH. 


1853. 


1854. 


1855.   1856. 


1857. 


1858. 


1859. 


IV. 


Group  2. 


1.  Paramenia. 

2.  Childbirth. 


Group  3. 


1.  Old  Age. 


Group  4. 
1.  Atrophy  and  Debility 


Group  1. 
(Accidents  or  Nbgligbnce.) 

1.  Fractures  and  Contusions* 

2.  Burns  and  Scalds 

3.  Drowning 

4.  Falls 

5.  Poison 

6.  Suffocation  and  Strangulation 

7.  Otherwise 


Group  2. 


1.  Battle. 


Group  3. 


1.  Homicide. 


Group  4. 


1.  Suicide. 


Causes  ill-defined. 


Causes  not  stated . 


58 


18 


28 


15 


100 


47 


131 


169 


58 


119 


53 


292 


24 


114 


117 


30        14 


258 


296 


22 


*  Includes  railroad  accidents. 


1898.  I  CAUSES    OF    DEATH.  77 

Causes  of  Deaths  Reyistered  in  lihode  Island. 


I860. 

1861. 

1862. 

1868. 

1864. 

1865. 

1866. 

1867. 

1868. 

1869. 

1870. 

1871. 

1872. 

1878. 

1874. 

1875. 

1870. 

1 

2 

13 

19 

22 

21 

21 

IS 

24 

26 

22 

27 

28 

34 

30 

29 

44 

85 

30 

IIG 

132 

143 

101 

193 

152 

178 

188 

200 

217 

204 

232 

823 

254 

223 

216 

241 

52 

02 

47 

40 

42 

47 

42 

41 

41 

52 

50 

58 

09 

84 

79 

90 

78 

12 

8 

8 

0 

9 

12 

15 

16 

16 

12 

10 

24 

21 

14 

10 

12 

10 

18 

10 

16 

15 

12 

12 

12 

14 

23 

17 

12 

82 

29 

29 

21 

20 

20 

27 

23 

20 

24 

30 

24 

29 

86 

89 

35 

37 

17 

14 

18 

21 

19 

25 

18 

15 

12 

20 

12 

7 

9 

2 

1 

3 

2 

0 

2 

4 

4 

2 

1 

5 

5 

6 

4 

1 

3 

3 

1 

1 

1 

4 

6 

5 

9 

55 

31 

43 

7 

71 
3 

C4 
2 

51 
1 

39 

1 

39 

35 

35 

33 

31 

51 

55 

87 

47 

47 

4 

3 

1 

5 

2 

1 

5 

2 

5 

2 

8 

4 

8 

4 

12 

12 

8 

13 

6 

12 

11 

15 

18 

15 

27 

19 

18 

8 

18 

26 

18 

37 

18 

21 

20 

34 

40 

33 

30 

48 

51 

59 

43 

87 

70 

57 

56 

32 

188 

202 

188 

817 

209 

807 

171 

195 

288 

800 

137 

849 

376 

217 

152 

20T 

813 

78 


FORTY-SIXTH   REGISTRATION"   REPORT. 

Table  X. — Continued. 


[1898. 


CAUSES  OP  DEATH. 


1877.    1878. 


1879.   1880. 


1881. 


1882. 


1883. 


IV. 


V. 


Geotjp  2. 


1.  Paramenia. 

2.  Childbirth.. 


Geoup  3. 


1.  Old  Age. 


Group  4. 
1 .  Atrophy  and  Debility, 


Gboup  1. 
(Accidents  or  Negligence.) 

1.  Fractures  and  Contusions* 

3.  Burns  and  Scalds 

3.  Drowning 

4.  Falls 

5.  Poison 

6.  Suffocation  and  Strangulation 

7.  Otherwise 


Group  3. 


1.  Battle. 


Group  3. 


1.  Homicide. 


Group  4. 


1.  Suicide. 


Causes  ill-defined. 


Causes  not  stated. 


89 


22 


56 


198 


26 


210 


254 


36 


38 


107 


82 


22 


283 


106 


275 


130 


46 


233 


45 


347 


25 


22 


186 


*  Includes  railroad  accidents. 


1898.J  CAUSKS   OF   DEATH.  79 

Causes  of  DecUJis  Registered  in  Rhode  Island. 


Total  *iid  Pnt- 

1884. 

1885. 

1886. 

1887. 

1888. 

1889. 

1890. 

1891. 

1892. 

1898. 

1894. 

1895. 

1896. 

1897. 

1898. 

CBNTAOI 
rOB  45  YEIM, 

1853-1)197. 

4 

2 

1 

1 

2 

4 

3 

23 

.01 

35 

26 

31 

28 

33 

27 

26 

22 

45 

50 

62 

40 

40 

45 

49 

1.278 

.61 

293 

267 

276 

278 

290 

227 

198 

185 

256 

183 

187 

197 

20C 

159 

161 

!  9,125 

4.35 

126 

122 

136 

146 

159 

231 

240 

217 

241 

191 

73 

85 

87 

94 

50 

1 
3,821 

1.82 

16 

15 

20 

47 

33 

48 

57 

59 

89 

25 

19 

36 

694 

.33 

20 

19 

23 

17 

27 

20 

20 

18 

21 

26 

28 

28 

25 

41 

21 

781 

.37 

41 

42 

58 

39 

46 

52 

71 

52 

48 

47 

52 

61 

39 

40 

60 

1,521 

.72 

31 

25 

19 

17 

18 

31 

32 

21 

33 

25 

28 

57 

48 

64 

58 

768 

.37 

8 

9 

6 

7 

12 

7 

n 

16 

23 

14 

6 

8 

8 

7 

8 

284 

.14 

11 

10 

10 

14 

8 

9 

12 

17 

26 

14 

21 

22 

24 

22 

19 

313 

.15 

70 

58 

58 

65 

46 

49 

47 

50 

69 

113 

80 

81 

152 

89 

130 

2,342 
14 

1.12 
.01 

2 

3 

2 

2 

5 

3 

o 

1 

4 

3 

9 

0 

2 

12 

13 

137 

.06 

22 

20 

17 

16 

21 

24 

19 

40 

19 

21 

45 

31 

88 

41 

46 

823 

.39 

19 

57 

39 

85 

46 

49 

45 

35 

34 

31 

2 

31 

46 

20 

24 

1,680 

.80 

42 

59 

51 

19 

28 

39 

43 

84 

28 

68 

55 

52 

29 

25 

20 

7,468 

3.56 

80 


FORTY-SIXTH    REGISTRATION"    REPORT. 


[1898. 


Table  XI.— OCCUPATIONS  AND  AGES  OF  DECEDENTS. 

Shoivijig  the  Number  and  Occupation  of  Decedents  for  the  year 

1898,  and  for  a  period  of  Forty-Six  Years  and  Seven  Months, 

1852  to  1898,  inclusive.     {Ages  under  Tiventy  excluded.) 


State  of  Rhode  Island. 

J  898. 

Forty-Six  Years  and  Seven 

Months, 
June  1, 1852,  to  Dec.  31, 1898. 

OCCUPATIONS. 

^  O 

<D 

Is     . 
51)  CD 

ki  be 
< 

■^     . 

I. 

Tillers  of  the  Soil. 
Farmers , 

173 

2 

12 

12,218 

94 

701 

70.62 
47.00 

58.42 

6,883 

60 

294 

462,054 

3,302 

17,250 

67.13 

Florists 

55.03 

Gardeners 

58.67 

Total 

187 
1 

13,013 

48 

69.59 
48.00 

7,237 

15 

1 

15 

38 

7 

1 

7 

2 

1 

52 

267 

1 

3 

43 

22 

14 

13 

15 

15 

482,606 

522 

23 

871 

1,954 

455 
25 

477 

'     65 

58 

2,587 

17,045 

44 

173 

2,247 

1,117 

473 

492 

792 

991 

66.69 

II. 

Professional  and  Per- 
sonal. 

Actors 

Aeronauts 

34.80 
23.00 

Architects 

1 
1 

2 

68 

72 

153 

68.00 
72.00 

76.50 

58.07 

Artists 

Assayers    and    Analytical 
Chemists 

51.42 

65.00 

Athletes 

25.00 

Authors , . 

68.14 

Ball  Players 

32.50 

Chiropodists 

58.00 

Civil  Engineers 

Clersrvmen 

2 
19 
1 
1 
3 
2 
2 
1 
5 

83 

1,221 

44 

70 

120 

115 

93 

43 

289 

41.50 
64.26 
44.00 
70.00 
40.00 
57.50 
46.50 
43.00 
57.80 

49.75 
63.84 

Couriers 

Dancing  Masters 

Dentists 

44.00 
57.67 
52.26 

Designers 

50.77 

Draughtsmen 

Electricians 

33.79 

37.85 

Inspectors 

52.80 

Inventors 

66.07 

' 

1898.]  OCCUPATIONS    AND    AOKS    AT    nEATH.  81 

Table  XI.— OCCUPATIONS  AND  AGES.— Coutiuued. 


State  of  Rhode  Island. 

1898. 

Forty-Six  Years  and  Seven 

Months, 
June  1, 1852,  to  Dec.  81,  1898. 

OCCUPATIONS. 

Si 

^1 

to 

< 

< 

^1 

as    . 
bnco 

< 

0) 
CS  O) 

< 

Journalists    (Editors    and 

Keporters) 

Judg-es  and  Justices 

Lawyers 

3 
1 
5 

141 
66 

272; 

47.00 
66.00: 
54.40^ 

43 

16 

176 

2 

75 
14 

27 

323 

2 

144 

87 

3 

1 

2 

130 

3 

83 

24 
3 

8 

7 

2,009 
1,047 
9,918 

108 
3,592 

743 

1,258 

19,347 

68 

7,139 

5,195 

152 

60 

80 

7,197 

131 

1,895 

731 
147 
372 

478 

46.72 
65.44 
56.35 

Tjftptnvevs                    

54.00 

Musicians 

Nurses 

3 

158| 

52.67 

47.89 
53.07 

Photog-raphers  and  Litlio- 
orapliers 

2 
7 
1 
3 

1 

95 
419 

28 
197 

63 

47.50 
59.86 
28.00 
65.671 
63.00 

46.59 

Physicians    

59.90 

Postmasters 

34.00 

Professors  and  Teachers. . 

Public  Officers 

Publishers      

49.58 
59.71 
50.67 

Scientists    .        

: 

60.00 

Sculptors      

1          1 

40.00 

Sheriffs  and  Policemen. . . . 
Steno^'raphersi 

3 

160 

53.33 

55.36 
43.67 

Students 

2 

'59 

29.50 

22.83 

Telephone  and  Telegraph 
Operators                  

30.46 

Treasurers                 

49.00 

Veterinary  Surgeons.   . .    . 

1 

46.50 

1 
73 

5 
2 
4 

80 

80.00 

68.29 

Total 

4,157 

297 

88 
269 

56.95 

59.40 
44.00 
67.25 

1,705 

221 

21 

13 

6 

148 

6i] 

47 

3 

9 

;      294 

92,078 

11,439 
1,151 

54.00 

III. 

Optional  Activity. 

Agents  and  Canvassers. . . . 
Ins\irance 

51.76 
54.81 

Real  Estate 

832     64.00 

Auctioneers               

274'    45.67 

Bankers  and  Brokers 

Bank  Officers 

1       ^ 
1 

3 

243 

76 
90 

,    60.75 
76.00 

30.00 

i 

8,762     59.20 
4,248j    64.36 

Bartenders 

l,709i    36.36 

BodlvSPI  lf>l'S 

2131    71.00 

Bottlers 

1 

C 

41 

348 

41.00 
58.00 

314i    34.89 

Butchers  and  Marketmen. . 

15,142 

!l    51.50 

83  rOETT-SIXTH   KEGISTEATION   EEPOET.  [1898. 

Table  XI.-OCCUPATIONS  AND  AGES.— Continued. 


State  of 

Rhode  Island. 

1898. 

Forty-Six  Years  and  Seven 

Months, 
June  1,  1852,  to  Dec.  31, 1898. 

OCCUPATIONS. 

>> 

P 

i-i  O 

?    • 

s:  Ml 

bS) 

C^  IX) 

t><l 

Carriage  Dealers 

2 

12 

4 

21 

3 

4 

5 

3 

13 

2 

122 

16 

3 

20 

1 

12 

2 

1 

14 

26 

20 

116 

110 

6 

449 

175 

196 

73 

39 

3 

12 

643 

1,306 

6 

6 

-     1 

19 

98 
5 

113 

684 
207 

1,261 
175 
239 
316 
132 
714 
81 

5,542 
895 
179 

1,140 

48 

623 

152 

56 

803 

1,497 
880 

6,870 

8,019 

241 

24,415 

9,569 

9,054 

3,970 

2,007 

151 

530 

39,333 

76,714 

338 

402 

24 

830 

4,559 

318 

56.50 

Coal  and  Wood 

1 

2 
1 
1 

75 

139 

42 

43 

75.00 
69.50 
42.00 
43.00 

57.00 

Dry  Goods 

51.75 

Fish  and  Oyster 

Furniture 

60.05 
58.33 

Grain 

59.75 

Hardware 

2 

155 

77.50 

63.20 

Ice 

44.00 

Junk ... 

54.92 

Leather 

40.50 

Liquor 

7 
1 

334 
63 

47.71 
63.00 

45.43 

Lumber 

55.94 

News 

59.67 

Provision 

2 

128 

64.00 

57.00 

Rubber 

48.00 

Shoe 

Stove 

2 

64 

32.00 

51.92 

76.00 

W^ool  Waste 

56.00 

Clothiers 

57.36 

Collectors 

Commercial  Travelers 

Contractors  and  Builders  . 
Drug-gists  and  Apotheca- 
ries  

1 

4 

7 

5 

81 
187 
495 

239 

81.00 
46.75 
70.71 

47.80 

57.58 
44.00 
59.22 

72.90 

Fruiterers 

40.17 

Grocers 

15 

6 
5 
5 

7 

846 
314 
211 

278 
319 

56.40 
52.33 
42.20 
55.60 
45.57 

54.38 

Hotel  and  Innkeepers 

Saloon  and  Restaurant . . 

Stable 

Store  

54.68 
46.19 
54.38 
51.46 

Ice-cream  Makers 

60.33 

Mail  Carriers 

44.17 

Merchants 

21 

48 

1,394 
2,893 

66.38 
60.27 

61.17 

58.74 

56.33 

Organ  and  Piano  Tuners . . 

67.00 

Policy  Brokers 

24.00 

Pork  and  Meat  Cutters  and 
Packers 

3 
5 

117 

284 

39.00 

56.80 

43.68 

Railroad  Ofl&cials 

Ship  Chandlers 

46.52 
63.60 

J  898.  J  OCCUPATIONS    AND    AGES    AT    UKATif.  83 

Table  XI.— OCCUPATIONS  AND  AGES.— Continued. 


State  of  Rhode  Island. 

1898. 

Forty-Six  Years  and  Seven 

Months, 
June  1, 1852,  to  Dec.  31, 1896. 

Of'CCJPATIONS. 

Is 

< 

bo  . 
< 

Is 

< 

« 

< 

Tobacconists 

14 

830|    59.29 

Tradei-s 

Undertakers 

1 

3 

71 
234 

71.66 

78.00 

283 
49 

14,259i    50.39 
2,927     59.73 

Total 

lY. 

GuTDOOE.— Zom^. 

Boat  Builders 

Briekmakers 

181 
3 

10,458 
212 

57.78 

70.67 


4,743 

29 

8 

13 

265,181 

1,770 
352 
611 

55.91 

61.03 
44.00 

Brick  and  Stone  Layers. .  . 

47.00 

Calkers 

Carpenters  and  Joiners  . . . 
Masons 

1 
86 
35 

1 

74 
5,365 
2,064 

69 

74.00 
62.38 
58.97 

14 

2,151 

905 

977     69.79 

120,240     55.85 

50,507'    55.81 

2,464    66.59 

Milhvriglits 

69.00        37 

Pavers 

3 

22 

6 

79 
9 

292 

1 

129,    43.00 

......  I 

1,254    57.00 

Roofers 

1 

332     55.33 

Ship  Carpenters 

Slaters 

1 

67 

67.00 

5,476    69.32 
398    44.22 

Stonecutters    and    Marble 
Workers 

"wavs 

17 

923 

54.29 

1 
14,174    48.54 

79     79.79 

Tanners  and  Curriers 

Wheelwrights 

5 
4 

341 

254 

68.20 
63.50 

56 
112 

3,536!    63.14 
6,775    60.49 

Total 

V. 

I-SBOOH.—ActiL'e. 
Axe  and  Scythe  Grinders 

153 

9,369 

61.24 

3,737 
4 

209,074 
222 

53.27 
55.50 

Bakers 

Basket  Makers 

Belt 

14 
1 

654 
'"'84 

46.71 
84.66. 

159 

7 

13 

10,468' 
404 
760, 

65.84 
57.71 
58.46 

84  FOETY-SIXTH    KEGISTRATIOlSr   REPOET.  [1898. 

Table  XI.— OCCUPATIONS  AND  AGES.— Continued. 


OCCUPATIONS. 


State  or  Rhode  Island. 


1898. 


(a 

f^ 

^1 

Ho 

SltKC 

S 

< 

Bobbin  Makers -. 

Boiler 

Bolt 

Broom  and  Brush 

Button 

Cabinet . . . 

Card 

Carriage,  and  Trimmers . 

Chair 

Comb 

Mattress 

Pattern 

Pianoforte 

Picker 

Plane 

Pump  and  Block 

Eeed 

Sash  and  Blind 

Scythe 

Spindle 

Stopper • 

Stove,  and  Mounters 

Tool 

Trunk 

Umbrella 

Wringer 

Beamers 

Bell  Hangers , 

Blacksmiths  and  Farriers  , 
Bleachers  and  Fullers.. . . , 

Bonnet  Dressers 

Brewers 

Britannia  Workers , 

Calico  Printers 

Car  Builders 

Stair 

Carders , 

Card  Grinders 

Carvers 

Confectioners 

Cooks  and  Caterers , 


53 

149 


255 

"'82 


27 
4 


135 


126 


1,404 
250 


1 
13 


81 
45 


71 
731 


53.00 
49.67 


63.75 

82.66 


67.50 


63.00 


52.00 
62.50 


40.50 
45.00 


71.00 
56.23 


Forty-Six  Years  and  Seven 

Months, 
June  1,  1852,  to  Dec.  31,  1898. 


Eh  o 


611<| 


3 

143 

75 

3,153 

1 

41 

15 

743 

1 

37 

138 

8,017 

4 

201 

74 

4,081 

1 

70 

5 

187 

1 

38 

81 

4,746 

3 

157 

5 

303 

1 

79 

14 

788 

6 

352 

9 

440 

1 

83 

5 

297 

1 

22 

5 

245 

30 

•  1,587 

3 

89 

2 

103 

1 

32 

2 

59 

2 

47 

696 

37,691 

68 

3,458 

2 

73 

20 

978 

1 

65 

57 

3,106 

1 

57 

4 

219 

7 

378 

3 

138 

3 

147 

43 

2,018 

110 

5,325 

S3  (D 

< 


47.67 
42.04 
41.00 
49.53 
37.00 
58.09 
50.25 
55.15 
70.00 
37.40 
38.00 
58.59 
52.33 
60.06 
79.00 
55.71 
58.67 
48.89 
83.00 
59.40 
22.00 
49.00 
52.90 
29.67 
51.50 
32.00 
29.50 
23.50 
54.15 
50.85 
36.50 
48.90 
65.00 
54.49 
57.00 
54.75 
54.00 
46.00 
49.00 
46.93 
48.41 


1898.]  OCCUPATION'S    AN'D    A«KS    AT    DKATIf.  85 

Table  XI.— OCCUPATIONS  AND  AGES.— Coutinued. 


State  or  Rhode  Island. 

1888. 

Forty-Six  Years  and  Seven 

Months. 
Jane  1, 1852,  to  Dec.  31,  1898. 

OCCUPATIONS. 

^1 

1 

< 

><      ! 
< 

la 

E-  0 

0 

< 

>< 
< 

Coopers 

Coppersniitbs 

3 

147 

i 

49.00 

129 

14 

7 

12 

14 

1 

136 

10 

8 

12 

4 

61 

11 

24 

1       26 

6 

14 

1 

6 

1,643 

496 

9 

15 

338 

935 

24 

53 
3 
5 
3 
115 
6 
4 
3 
1 
7 
0 

5 
7 
7 

8,490 

844 

344 

490 

526 

77 

6,931 

381 

472 

687 

195 

2,696 

449 

1,314 

1,400 

219 

633 

47 

240 

80,058 

26,119 

500 

836 

15,63C 

45,078 

1,251 

2,51  C 

193 

32C 

12J 

4,551 

261 

,         12c 

1         153 

76 

311 

llr 

353 

29-2 

65.81 
60.29 

Cutters           

49.14 

Xail                 

40.83 

Decora  toi-s 

Distillei-s            

1 

32 

32.00 

37.57 
77.00 

Dvei's 

5 

271 

54.20 

50.96 

Fouiitlers               

50.64 

Brass  aiicl  Iron 

1 

59.00 

Fountli'TiueD     

57.25 

Furnacemeii              

48.75 

Oastitters 

2 

124 

62.66 

44.20 

Gilders 

40.82 

GuD  and  Loeksinitlis 

54.75 

Hatters 

53.85 

Heaters 

1 
2 

39 

85 

39.66 
42.50 

36.50 

Iron  Eollers  and  Workers . 

45.21 

47.00 

Lathers 

40.00 

Alaoliinists 

71 
11 

1 

3,802 

618 

64 

53.55 
56.18 
64.00 

48.73 

Alecbanics 

52.66 

Melters  

55.56 

Aliners 

55.80 

Painters  and  Glaziers 

Paperhangei-s   

Plasterei-s     a  n  d     Stucco- 
Platers  

15 

39 

1 

706 

1,881 
47 

50 

47.67 
48.23 
47.00 

50.00 

46.24 
48.21 
52.12 

47.36 
64.33 

Gold      

2 

108 

54.00 

64.00 
41.33 

11 

406 

36.91 

39.57 

Pressmen 

43.50 

Retinei's 

1 

36 

36.00 

\    30.00 

Gold 

51.00 

Oil j.... 

76.00 

Susrar 1 . . . . 

1 

44.43 

Scissoi"S  Grinders 

57.50 

Soap  Boilei"S - 

t     70.60 

!    41.71 

Stove  Mauufactui'ers 

1 

1    59.43 

' 

86  FORTY-SIXTH   REGISTRATIOlSr   REPORT.  [1898. 

Table  XI.— OCCUPATIONS  AND  AGES.— Continued. 


State  of  Rhode  Island. 

1898. 

Forty-Six  Years  and  Seven 

Months, 
June  1, 1852,  to  Dec.  31,  1898. 

OCCUPATIONS. 

E-io 

< 

Si 

Ho 

£  bo 
SJO<ri 

Ml   . 

>< 
< 

Superintendents  and  Over- 
seers   

26 

1,350 

51.92 

344 

4 

134 

56 

14 

4 

7 

46 

18,988 

322 

6,337 

2,244 

604 

149 

383 

1,901 

55.20 

Tallow  Chandlers 

80.50 

Tinsmiths 

7 
1 
3 

431 
26 
91 

61.57 
26.00 
30.33 

47.29 

Upholsterers 

40.07 

Wire-workers 

43.14 

Wood-carvers 

37.25 

Finishers 

54.71 

Turners 

1 

59 

59.00 

41.32 

Total 

281 
6 

14,493 
240 

51.58 
40.00 

6,473 

249 
26 

424 

18 

1 

5 

107 

40 

131 

7 

25 

38 

621 

14 

1,253 

3 

1 

21 

7 

139 

92 

1 

328,277 

8,575 
1,203 

19,073 

814 

66 

261 

4,858 

2,219 

6,591 

389 

1,672 

2,207 

35,974 

518 

47,333 

175 

34 

1,016 

414 

6,711 

3,774 

40 

50.71 

YI. 

Indoor. — Activity  Restric- 
ted. 

Barbers 

34.44 

Bookbinders 

46.27 

Bookkeepers  and  Account- 
ants   

19 

970 

51.05 

44.98 

Box  Makers 

45.22 

Braid 

66.00 

Chain 

52.20 

Cigar 

1 
2 
3 

41 
104 
192 

41.00 
52.00 
64.00 

45.40 

Clock  and  Watch .    

Harness,  and  Saddlers . . 
Paper 

55.47 
50.31 

55.57 

Bope 

66.88 

Sail 

58.08 

Shoe 

16 

1,026 

64.12 

57.93 

Chasers 

37.00 

Clerks  and  Salesmen 

Compositors 

49 
2 
1 

2,006 

100 

34 

40.94 
50.00 
34.00 

37.78 
58.33 

Die  Cutters 

34.00 

Sinkers 

48.38 

Enamelers 

59.14 

Engravers 

4 
3 

265 
138 

66.25 
46.00 

48.28 

File  Cutters 

41.02 

Forgers 

40.00 

1898.]  OCCUPATIONS    AND    AGES    AT    DEATH.  87 

Table  XI.— OCCUPATIONS  AND   AGES.— Continued. 


Statb  of  Rhode  Island. 

1898. 

Forty-Six  Years  and  Seven 

Months, 
June  1, 1852,  to  Dec.  31, 1898. 

OCCUPATIONS. 

E-io 

as    . 

< 

ID 
M    . 

>< 

< 

la  . 

< 

^    . 

>< 

< 

Finishers 

4 
1 

177 
53 

44.25 
53.00 

17 

6 

1 

1,096 

3 

1 

11 

13 

3 

48 

2,536 

3 

3b 

1 

1 

1 

208 

1 

32 

1     168 

125 

440 

60 

840i    49.41 

Brass 

283'    47  17 

Glass  Blowers 

57     57.00 

JeAvelers 

64 

2,997 

46.83 

45,552:    41.56 
182     fiOfi? 

Shell 

Knitters 

1 

21 

21.00 

21 

362 

414 

224 

2,739 

111,835 

122 

1,336 

62 

23 

42 

11,878 

70 

1,852 

7,021 

5,592 

24,311 

2,851 

21.00 

Lajiidaries 

32.91 

Laiindrynieu ....    

Leather  Dressers 

2 

52 

26.00 

31.84 
74.61 

Millers 

Operatives 

1 
103 

3i 

4,898 

31.00 
47.55 

57.06 
44  10 

Pearl  Cutters 

40  67 

Polishers 

2 

54 

27.00 

44  53 

Marble 

62  00 

Silver 

23  00 

Steel 

42  00 

Printers 

8 
1 

360 
70 

45.00 
70.00 

57  11 

Proofreaders. . . . 

70  00 

Poll  Coverers 

57  87 

8 

3 

17 

5 

350 
183 
997 
230 

43.75 
61.00 
58.65 
46.00 

41  79 

Silversmiths 

44  74 

Tailors 

55  25 

T\'^ool  Sorters. 

47  52 

Total 

326 
2 

15,589 
126 

47.82 
63.00 

8,028 

8 
4 
2 

29 

120 

2 

54 

41 
200 

361,5861    4.fi  n4 

VII. 

Occupations  At  Large. 
Army  Officers  

3,346 

41  82 

Ba<:f  prage-masters 

124'    31.00 

Bill  Posters 

1 

•    42 

42.00 

101     .^n  ^0 

Boatmen 

1,673 

3,532 

57 

2,395 

1,568 

50.14 

Brakemen 

10 

318 

31.80 

29.43 

Butlers 

28.50 

Car    Drivers,    Conductors, 
and  Motormen 

1 

3 
13 

59 

138 
626 

59.00 

46.00 
48.15 

44.35 
.S8  24 

Coachmen 

8,740    4.3.70 

FOETT-SIXTH    EEGISTRATION"    REPORT. 


[1898. 


Table  XI.— OCCUPATIONS  AND  AGES.— Continued. 


OCCUPATIONS. 


State  of  Rhode  Island. 


6e<! 

61) 


Forty-Six  Years  and  Seven 

Months, 
June  1, 185S,  to  Dec.  31, 1898. 


Ui  ho 


Drivers 

Drovers 

Elevator  Operators 

Engineers  and  Firemen . . . 

Expressmen 

Fire  Company  Members . . 
Fishermen  and  Oystermen 

Highway  Surveyors 

Hostlers 

House  Movers 

Icemen 

Janitors 

Laborers 

Lamplighters 

Linemen 

Lumbermen 

Mail  Carriers 

Mariners 

Messengers 

Milkmen 

Naval  Officers 

Peddlers 

Pilots 

Porters 

Sailors ....    

Scissors  Grinders 

Sea-captains  or  Ship-mas- 
ters   

Servants 

Sextons  

Sinkers  of  Artesian  Wells . 

Soldiers 

Stage  Drivers 

Stevedores 

Stewards 

Switchmen,  Gatemen,  etc.. 

Teamsters 

Theatre  Managers. .    

Waiters 

Watchmen 

Well  Diggers 


243 


27 
4 
2 

11 


1,607 
232 
117 
583 


10 
3 


395 

188 


9 

359 

2 

1 


544 

18,114 

131 

42 


134 


142 


287 


2 

14 

1 


61 

729 

72 

468 
24 


244 


2 

32; 

2 
10; 


105 

58 

1,468 

59 

61 

650 


34.71 


59.52 
58.00 
58.50 
53.00 


39.50 
62.67 


60.44 
50.46 
65.50 
42.00 


44.67 


71.00 


71.75 


30.50 
52.07 
72.00 

58.50 
24.00 


30.50 


52.50 
58.00 
45.87 
59.00 
30.50 
65.00 


44 
2 
1 

444 

103 

8 

257 

1 

142 

9 

5 

91 

10,361 

20 

10 

2 

5 

529 

2 

17 

19 

176 

22 

49 

291 

1 

188 

28 

12 

3 

151 

8 

16 

25 

20 

643 

2 

123 

178 

4 


1,645 

83 

79 

21,890 

5,265 

334 

13,199 

61 

6,144 

611 

324 

4,851 

513,042 

1,109 

491 

153 

241 

26,373 

105 

545 

941 

8,812 

1,197 

2,272 

13,998 

72 

12,534 

1,196 

751 

163 

4,657 

398 

766 

1,169 

1,088 

30,025 

102 

5,000 

10,137 

295 


1898. 


OCCUrATIONS    ASM)    AGES    AT    DKATII. 


89 


Table  XI.— OCCUPATIONS  AND  AGES.— Continued. 


State  op  Rhode  Island. 

1898. 

Forty-Six  Years  and  Seven 

Months, 
June  1, 1852,  to  Dec.  81, 1898. 

OCCUPATIONS. 

ID 
< 

® 

< 

Ho 

® 
< 

<5 

Whitew<aRliei's 

8 
5 

452 

239 

56.50 

AVood  Sawyers 

47.80 

556 

Total 

28,067 

50.48 

14,485 

3 
1 
5 
2 
5 
1 
1 
1 
4 
8 
373 

26 
1 

15 

35 
1 

49 
2 
2 

16 

'        16 

1 

45 
2 
2 

58 

4 

117 

1,037 

11 
1 

714,345 

112 

59 

276 

149 

150 

34 

66 

28 

152 

243 

15,099 

1,626 

60 

460 

994 

28 

2,638 

124 

55 

456 

699 

49 

2,241 

102 

128 

2,063 

125 

6,945 

32,723 

647 

28 

49.32 

VIII. 

Employments  of  Women. 
Actresses 

37.33 

Ag'ents 

59.00 

Artists 

Basket  Makers 

1 

55 

55.00 

55.20 
74.50 

Box 

30.00 

Broom  and  Brush 

34.00 

Braid 

66.00 

Cap 

28.00 

Chaiu 

38.00 

Cig-ar 

Dress,  and  Seamstresses. 
Boardiiigbouse  Keepers. . . 
Boatwomeu 

1 

15 

1 

40 

474 

66 

40.00 
31.60 
66.00 

30.37 
40.48 
62.54 
60.00 

30.66 

Clerks  and  Saleswomen . . . 

Compositors 

Cooks  

5 
1 
2 
1 
1 
2 

135 

28 
130 
58 
30 
80 

27.00 
28.00 
65.00 
58.00 
30.00 
40.00 

28.40 
28.00 
53.84 

Farming- 

Hairdressers 

62.00 
27.50 

Jewelers 

28.50 

Laboring" 

43.69 

Lace  Knitters 

49.00 

Laundresses 

Matrons 

3 

162 

54.00 

49.80 
51.00 

Midwives 

64.00 

Milliners 

2 

100 

50.00 

35.67 

Musicians 

31,25 

Nurses. 

6 
33 

32i 
1,118 

53.50 
33.88 

59.36 

Operatives                        .    . 

31.56 

Physicians 

58.82 

Postmistresses 

1 

28 

28.00 

28.00 

1? 


90  FORTY-SIXTH    REGISTRATION    REPORT.  [1898. 

Table  XI.— OCCUPATIONS  AND   AGES.— Continued. 


OCCUPATIONS. 


Public  Officers 

Rubber- workers 

Servants 

Sisters  of  Mercy 

Stenographers 

Stewardesses 

Storekeepers 

Superintendents 

Tailoresses 

Teachers 

Telegraph  and  Telephone 

Operators 

Type-setters 

Upholsterers 

Waitresses 


Total 


State  of  Rhode  Island. 


1898. 


e  o 


be™ 


<1 


11 
1 
1 
1 


466 
36 
20 
76 


356 


58 


96,    3,837 


42.36 
36.00 
20.00 
76.00 


59.33 


58.00 


39.97 


rorty-Six  Years  and  Seven 

Months, 
June  1, 1852,  to  Deo.  31,  1898. 


2 

20 

549 

33 

1 

2 

2 

2 

149 

242 

6 

1 

1 

10 


110 

589 

26,273 

1,258 

20 

114 

99 

126 

6,935 

12,357 

166 
58 
34 

291 


2,865  116,989 


55.00 
29.45 
47.86 
38.12 
20.00 
57.00 
49.50 
63.00 
46.54 
51.06 

27.67 
58.00 
34.00 
29.10 


40.87 


1898.]  OCCUrATTONS    and   ages    at    DEATir.  91 

Table   XI.— OCCUPATIONS   AND    AGES.— (Recapitulation.) 


State  of  Ruodk  Island. 

1898. 

Forty  Si.x  Years  and  Seven 

Months. 
June  1, 1852,  to  Dec.  31,  1898. 

OCCUPATIONS. 

« 

a,* 
< 

o 

M   . 

i| 
>< 
< 

E-i  o 

<; 

< 

I. 

Tillers  of  the  Soil 

187 

13,013 

69.59 

7,237 

482,606 

66.69 

II. 

Professional  &  Personal 

73 

4,157 

56.95 

1,705 

92,078 

54.00 

III. 

Optional  Activity 

181 

10,458 

57.78 

4,743 

265,181 

55.91 

rv. 

OuTDOO-R.—Zoeal 

153 

9,369 

61.24 

3,737 

209,074 

53.27 

V. 

Indoor. — Active 

281 

14,493  51.58' 

6,473 

328,277 

50.71 

VI. 

Indoor. — A  ctivity  Restric- 
ted   

326 

15,589 

47.82 

8,028 

361,586 

45.04 

VII. 

Occupations  At  Large.  . . 

556 

28,067 

50.48 

14,485 

714,345 

49.32 

VIII. 

Employments  of  Women  . 

96 

3,837 

39.97 

2,865 

! 

116,989 

40.87 

Alt,  Classes 

1,853 

98,983 

53.42 

49,273 

2,570,136  52.16 

92 


FORTY-SIXTH   REGISTRATION"   REPORT. 


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1898.] 


OCCUPAflOltS   A-iiD   CAUSKS   OF   DEATtt. 


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OCCn'ATIONS    ANM)    CAUSKS    OF    [)I;ATII. 


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96 


FORTY-SIXTH    REGISTRATIGlSr    REPORT. 


[1898. 


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102 


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104 


FORTY-SIXTH    REGISTEATIOlSr    REPORT. 


[1898. 


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•jfja^uasjSo;  puB  ■eaoqaj'Bid 


•sa^aqBio: 


■^^iiiqaa 


■nondainsaoo 


CO  T^  iH  iH 


•jeanBo 


■si-nqonoag 


■JO  sasBasid  'niBjg 


■sasBasjcr  laMog; 


•JO  sasBasjo;  'jappBia 


•'Binq^sv 


•siSii['Bj'Bj  paB  Axaidody 


■nisqoqooiv 


■s^uapioov 


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iH  CO 


> 


o 

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CO  d 

(X)    0) 


CO 


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id  ©  S3 


1898.] 


OCCCI'ATIOXS    AM)    CAUSES   OF    DRATM. 


105 


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106 


FDRTY-SIXTH    REGISTKATIOX    KEPOKT. 


[1898. 


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OCCUPATION'S    AXD    r A  USES    OF    DEATH. 


107 


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108 


PORTY-SIXTH    REGISTRATION    REPORT. 


[189S. 


'J80IX1  esooij'BA 


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0(  ri   I'ATiONS    AND    (AL'SKS    OF    DKATH. 


100 


CO 

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63 


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viiuas^ 


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siiusuiuajM  iBuids-ojqgjao 


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"IBoisaA  'n^oiBO 


sijioipaaddy 


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•Biraany 


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sBosj  'ssaosqv 


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Ci 


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®  ^  '-^  "^  >^  >— I  -^-«"  ~  -i^  -^^  -  ^^  ^-  •  -  ' 


110 


T'ORfY-SlXTIt    REGISTRATION   REPORT, 


[1898. 


CD 

a 
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Q 


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Hi 

Ph 
D 


EH 


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II   ^ 

1 

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- 

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II   '"* 

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iH 

- 

1       I-l    II        T— 1 

II   ""^ 

■luuffiaoiuaj  jo-Biiioo.res 



- 

- 

- 

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— 

— 

1 

II   ^ 

II   '~'~ 
II   '"' 

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II   '"' 

■astasia  saiodt 

II   '"' 

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II   ""^ 

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II   ""* 

■Bix'B^v  JO'joinoooT: 

II   '"' 

•astasia;  ,saij[SpoH 

-- 

- 

- 

— 

II   '"^ 

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1^11  s 

1  :ir^" 

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1  CO  II    cc 

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1    :|l  ^ 

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- 

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1— 1 

-- 

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1  ^11  "= 

•JloaM  JO  sijiiniiao 

II   ^ 

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II   ^ 

■I'GOisaA  'lITioiBO 

1   '"' 

■si'jioipnaddv 

II   ^' 

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rH 

1^11  = 

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1-H 

1^11  ^ 

•turnoaa  'ssaosqv 

— 

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1  '^ 

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OCCUPATIONS.    ' 

01 
OQ        1 

c 

(- 

b 

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CO 

O 

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02 
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03 

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c5 

RESULTS  AND  OBSERVATIONS. 


GENERAL   SUMMARY. 


The  number  of  births  registered  iu  the  State  of  Rhode  Island, 
during  the  3"ear  1808,  was  ten  thousand  seven  hundred  and  thirty 
(10,730) ;  the  number  of  marriages,  three  thousand  two  hundred 
and  seventy-eight  (3,278) ;  and  the  number  of  deaths,  six  thousand 
nine  hundred  and  five  (6,905). 

Table  XIII. 

General   results  of  Registration  for  ten  years,  lSo4--63,  and  for 
each  of  the  last  thirty-five  years. 

Whole  Number  Living 

Years.  of  Births.  Still-born.  Births.  ^[arriages.  Deaths. 

1854-1863 38.042 1,471 36.571 14,943 24,230 

1864 3.892 138 3.754 1,844 3,360 

1865 3,9.55 177 3,778 1,896 3,405 

1866 4.902 172 4,730 2,318 2.970 

1867 5,127 163 4.964 3,344 2,889 

1868 5,372 212 5,160 2.285 2,912 

1869 5,245 220 5,025 2,289 3,382 

1870 5,215 234 4,081 2,362 3,238 

1871 5,678 223 5,455 2.336 3.344 

1872 0.143 202 5.941 2.537 4.247 

1873 0.022  228 5,794 2.630 4.403 

1874 6,466 277 6.189 2,541 4.229 

1875 6,508 246 0,262 2,485 4,317 

1876 6..329 224 G.105 2.253 4,116 

1877 6.235 242 .5,993 2,282 4.450 

1878 6,714 248  6,466 2,324 4.441 

1879 6.350 216 6,1.34 2,396  4.472 

1880 6.295 192 C.103 2,769 4.829 

1881 6.761 264 6.497 2.750 5.016 

1882 6.825 '.^3 6.572 2,6.34 5.074 

1883 7.046 25;j 6.793 2,611 5,282 

1884 7,305 272 7,033 2,558 5,141 

1885 7,028 271 ..6,757 2.488 5.-389 

1886 7.621 293 7,328 2.750 5.849 

■ 

Ip 


114  FOKTY-SIXTH    REGISTRATION    REPORT.  [1898. 

Table  XIII. — Continued. 

Whole  Number  Living 

Years.  of  Births.  Still-born.  Births.  Marriages.  Deaths. 

1887 7,668 276 7,392 2,839 6,340 

1888 7,840 , 295 7,545 3,023 6,594 

1889 8,220.  - 329 7,891 3,029 6,259 

1890 8,550 296 8,254 3,195 6,934 

1891 9,426 372 9,154 3,320 6,630 

1893 9,370 343 8,927 3,503 7,396 

1893 10,048 412 9,636 3,544 7,440 

1894 9,985 .392 9,593 3,271 7,160 

1895 10,249 367, 9,882 3,497 7,535 

1896 11,174 424 10,750 ,..3,327 7,504 

1897 11,218 423 10,795 3,137 7,110 

1898 .11,143 413 10,730 3,378 6,905 

During  the  period  of  forty-five  years  there  were  recorded,  in 
Bhode  Island,  291,867  births,  of  which  number  10,933  were  still- 
born, and  280,934  were  living  children. 

During  the  same  period  there  were  recorded  109,586  marriages, 
or  219,172  persons  married,  and  204,782  deaths. 

These  results  show  that  in  every  26.7  births  there  was  one  still- 
born child,  or  that  in  every  1,000  births  there  were  about  37  still- 
born and  963  living  children. 

The  same  results  also  show  that  the  ratio  of  whole  number  of 
living  births  to  the  whole  number  of  persons  married,  and  to  the 
whole  number  of  decedents  respectively,  during  the  same  period, 
was  as  follows : 

Of  persons  married                             Of  deaths, 
For  every  100  living  births  there  were 74.5  and 72.9 

The  number  of  births  in  1898  was  65  less  than  the  previous 
year ;  the  number  of  marriages  141  greater,  or  284  more  persons 
married ;  and  there  was  a  decrease  of  205  deaths. 

For  every  100  births  there  were  : 

Of  persons  married.  Of  deaths, 

In  1894 68.2  and 74.6 

In  1895 70.8  and 76.3 

In  1896. " 61.9  and 69.8 

In  1897 58.1  and ' 65.9 

In  1898. .., 61.1  and 64.4 


Ift98.] 


GENERAL   SUMMARY. 


115 


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116 


FOETY-SIXTH    REGISTEATION    REPORT. 


[1898. 


•Sq:)'B9a:  J8A0 

smaia:  JO  ssaoxg; 


CO      T-(     1    tH      iOCO      CO 


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t^Cn— lOi-iOTO! 


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180R.]  GENERAL  SUMMARY.  117 

The  varying"  numbers  of  the  events  of  births,  niarriag'eH,  and 
deaths  occnrring'  in  the  dift'erent  towns,  durinf^  each  of  the  six 
3^ears  ending*  December  HI,  18*.)8,  are  very  concisely  presented  in 
Table  XIV,  and  a  ready  means  is  thereby  afforded  of  comparing 
and  studying"  the  changes  in  the  vital  movements  of  the  people  in 
the  ditt'oront  precincts  during  those  years. 

The  actual  increase  of  population  in  the  State,  for  the  ten  years 
1885  to  1895,  was  80,-474,  or  2G.-i5  per  cent.,  or  an  annual  averag-e 
of  two  and  six-tenths  per  cent.  The  increase  by  immigration 
must  have  been  nearly  twice  as  large  as  the  natural  increase. 


118 


FOETT-SIXTH    EEGISTEATION    RBPOET. 


[1898. 


Table  XV. 

Births,  Marriages,  and  Deaths  in  Rhode  Island,  in  1898,  with  the 

number  and  ratio  of  each  in  every  1,000  of  the  Population  of 

each  Town,  and  the  ratio  of  excess  of  the  Births  over 

the  Deaths  in  every  1,000  of  the  Popidation. 


TOWNS  AND  DIVISIONS 
OF  THE  STATE. 


Barrington 

Bristol 

Warren 

Beistol  County 

Coventry 

East  Greenwich 

West  Greenwich 

Warwick 

Kent  County 

Jamestown 

Little  Compton 

Middletown 

Newport  City 

New  Shoreham 

Portsmouth 

Tiverton 

Newpokt  County 

Burrillville 

Centeai,  Falls 

Cranston* 

Cumberland 

East  Providence 

Foster 

Glocester 

Johnson 

Lincoln 

North  Providence 

North  Smithfleld 

Pawtucket 

Pkovidencb  City.  . .   . 

Scituate 

Smithfield 

woonsocket 

Pkovidencb  County.  . 

Charlestown 

Exeter 

Hopliinton 

Narragansett  District, 

North  Kingstown 

South  Kingstown 

Richmond 

Westerly 

Washington  County. 

State  Institutions.  . . 
Whole  State 


o 

»2 

o 

QO 

V^ 

g 

a 

°o 

"S  3 

T-TO 

a 
.2 
Is 
"3 
p. 
o 

m  O 

be 
_eS 

CS  o 

So 

So 

^ 

s 

PP 

S 

Pm 

fi 

fi 

1,755 

33 

18.8 

11 

12.5 

19 

10.8 

7,039 

138 

19.6 

40 

11.4 

109 

15.5 

5,301 

139 

26.2 

36 

13.6 

84 

15.8 

14,095 

310 

22.0 

87 

12.3 

212 

15.0 

5,102 

137 

26.8 

18 

7.1 

81 

15.9 

3,S16 

39 

12.1 

31 

19.3 

53 

16.5 

675 
24,143 

7 
798 

10.4 
33.1 

9 
373 

13.3 
15.4 

156 

12.9 

33,136 

981 

29.6 

205 

12.4 

516 

15.6 

930 

20 

21.5 

2 

4.3 

12 

13.9 

1,128 

17 

15.1 

7 

12.4 

17 

15.1 

1,494 

25 

16.7 

3 

4.0 

15 

10.0 

22,116 

577 

26.1 

150 

13.6 

349 

15.8 

1,307 

20 

15.3 

10 

15.3 

17 

13.0 

1,780 

36 

20.2 

6 

6.7 

28 

15.7 

3,038 

35 

11.5 

11 

7.2 

56 

18.4 

31,793 

730 

22.9 

189 

11.9 

494 

15.5 

5,830 

167 

28.6 

32 

11.0 

95 

16.3 

17,462 

563 

32.2 

148 

16.9 

218 

12.5 

10,284 

227 

22.1 

69 

13.4 

172 

16.7 

8,932 

238 

26.6 

62 

13.9 

146 

16.3 

11,432 

232 

20.3 

74 

12.9 

123 

10.7 

1,129 

21 

18.6 

15 

26.5 

17 

15.1 

1,549 

23 

14.8 

7 

9.0 

27 

17.4 

12,629 

197 

15.7 

17 

2.7 

130 

10.4^ 

9,313 

221 

24.0 

63 

13.7 

115 

12.5 

2,830 

67 

23.8 

4 

2.8 

35 

12.4 

2,743 

81 

29.5 

19 

13.8 

52 

18.9 

36,008 

1,067 

39.5 

270 

14.9 

543 

15.0 

154,333 

4,256 

27.6 

1,566 

30.8 

2,929 

12.5 

3,492 

58 

16.6 

25 

14.3 

53 

15.2 

2,335 

38 

16.3 

11 

9.5 

31 

13.3 

27,591 

808 

29.3 

238 

16.5 

458 

16.6 

307,752 

8,264 

26.8 

2,610 

17.0 

5,144 

16.7 

964 

16 

16.6 

7 

14.5 

15 

15.5 

869 

10 

11.5 

15 

34.5 

13 

14.9 

2,679 

47 

17.5 

25 

18.7 

49 

18.3 

1,302 

23 

17.7 

4 

6.1 

13 

9.9 

4,571 

74 

16.2 

26 

11.4 

63 

13.8 

5,376 

113 

21.0 

31 

11.5 

83 

15.4 

1,623 

17 

10.5 

8 

9.9 

34 

14.8 

8,049 

145 

18.0 

71 

17.6 

109 

13.5 

25,433 

445 

17.5 

187 

14.7 

369 

14.5 

2,204 
414,413 

170 

77.1 

10,730 

25.9 

3,278 

15.8 

6,905 

16.7 

*  Not  including  State  Institutions. 


t  Geometrically  estimated. 


1898.  J. 


GENliilAL    SUMMAUV 


119 


Births.     Pi-oport'ion  to  l\>pnlation.. 

In  Tiible  XV,  on  the  precedinf:;'  paf^fe,  may  be  found  the  varying 
proportions  of  the  number  of  births,  marriag-es,  and  deaths  to 
every  1,000  of  the  population  in  the  various  towns  and  cities  in 
the  State,  as  thej^  occurred  in  1898. 

In  regard  to  births,  the  extreme  rang-e  of  proportion  to  popu- 
lation was  from  10.4  in  every  1,000,  in  West  GreeuAvich,  to  3.3.1, 
in  Warwick.  Following  AVarwick,  in  the  line  of  largest  propor- 
tion, are  Central  Falls,  with  32.2 ;  and  North  Smithfield  and 
Pawtucket,  with  29.5  each.  Following  West  Greenwich,  in  the 
line  of  the  smallest  proportion  of  births  to  population,  are  Rich- 
mond, with  10.5  in  every  1,000 ;  and  Exeter  and  Tiverton,  with 
11.5  each. 

The  proportion  of  births  to  population  in  all  the  counties 
entire,  and  in  the  cities  of  Central  Falls,  Newport,  Pawtucket, 
Providence,  Woonsocket,  and  the  whole  State,  during  the  last 
seven  j'^ears,  are  as  follows  : 

Births  to  Every  1,000  Persons. 


1898. 

1897. 

1896. 

1895. 

1894. 

1893. 

1892. 

Bristol  County 

23.0... 

...27.1... 

...23.0... 

...25.2... 

...19.7... 

...19.6... 

...17.0 

Kent  County 

29.6... 

...28.0... 

...30.1... 

...25.2... 

...23  2... 

...22.9... 

...23.0 

Newport  County 

23.9... 

...22.8... 

...24.8... 

...24.8... 

..  25.2... 

...26.3... 

...23.1 

Newport  City..   

26.1... 

...25.4... 

...27.9... 

...26.9... 

..  27.8... 

...30.1... 

...24.4 

Providence  County 

26.8... 

...27.9... 

...28.3... 

...26.8... 

...28.2.   . 

...27.9... 

...26.9 

Central  Falls 

32.2... 

...30.2  .. 

...35.2... 

Pawtucket 

29.5... 

...28.3... 

...27.5... 

...28.4... 

...24.7... 

...27.0... 

...24.5 

Providence  City 

'...27.6... 

...27.2... 

...27.8... 

...27.5... 

...28.9... 

...27.9... 

...27.8 

Woonsocket 

29.3... 

...32.5... 

,...33.9... 

...32.4... 

...32.1... 

...34.1... 

...31.2 

Washington  County 

17.5... 

...18.5   .. 

...19.6... 

...17.9  .. 

...19.4... 

...19.1... 

...16.8 

Whole  State 

25.9... 

...26.8... 

...27.3... 

...25.7... 

...26.6... 

...26.5... 

...35.2 

Persons  Married.    Pro])ortion  to  Population. 


The  proportion  to  the  population,  of  persons  married,  can  be 
more  correctly  shown  in  counties,  or  in  cities  and  aggregates  of 
towns,  than  in  single  towns. 

The  following  summary  will  present  the  proportions  in  the 
manner  suggested,  for  the  last  seven  years: 


120 


FORTY-SIXTH    REGISTRATION   REPORT. 


[1898. 


Persons  Married  in  Evert  1,000. 

1896.  1895.  1894. 

..14.0 14.2 18.5. 

..10.3 11.2 13.5. 

..13.1 15.2 14.5. 

..14.4 17.1 15.7. 

..18.2 19.6 18.5. 

Central  Falls 16.9 14.1 15.3. 

Pawtuoket 14.9 16.7 20.9 21.2 18.8. 

Providence  City 20.3 27.2 21.4 22.2 21.1. 

Woonsooket 16.5 32.5 16.8 20.4 15.0. 

Washington  County 14.7 18.5 16.7 17.2 14.4. 

Whole  State 15.8 26.8 17.0 18. 2...... 17. 4. 


Bristol  County 

Kent  County 

Newport  County 

Newport  City 

Providence  County  . . 


1898. 

1897. 

..12.3... 

...13.5. 

..12.4... 

...10.7. 

..11.9.. 

...13.1. 

..13.6... 

...14.1. 

..17.0... 

...16.5. 

1893. 

.19.9. 

.15.9. 

.14.5. 

.15.6. 

.19.8. 


.23.7. 
,.21.4. 
,.20.2. 
,.14.4. 

.18.7. 


1893. 
..15.3 
..16.3 
..15.9 
..16.0 
..20.2 


..32.3 
..23.4 
..19.3 
..16.2 
..19.1 


Deaths.    Proportion  to  Population. 

The  number  of  cleatlis,  in  proportion  to  the  living  population, 
varies  considerably  from  year  to  year  in  the  different  towns. 
The  smaller  the  towns  the  greater  generally  is  the  annual  vari- 
ation. 

The  highest  rate  occurred  in  North  Smithfield,  that  is,  18.9 
in  every  1,000  of  the  population ;  followed  by  Tiverton,  18.4, 
and  Hopkinton,  18.3. 

The  lowest  death  rate  was  in  the  District  of  Narragansett, 
that  is,  9.9  in  every  1,000  of  the  population ;  followed  by  Middle- 
town,  with  10.0,  and  Johnston,  with  10.4. 

The  following  summary  will  give  the  ratios  of  mortality  to  the 
population  in  the  cities  and  counties  of  the  State,  during  the 
seven  years  ending  December  31,  1898 : 


Deaths  in  Every  1,000  of  Population. 

1898.  1897.  1896.  1895.  1894. 

Bristol  County 15.0 18.6 17.9 20.9 16.5.. 

Kent  County 15  6 16.7 18.8 17.4 19.8.. 

Newport  County 15.5 16.2 17.0 15.9 16.9.. 

Newport  City 15.8 16.9 17.5 16.5 17.7.. 

Central  Falls 12.5 13.2  19.9 

Pawtucket , 15.0 17.7 18.3 30.1 18.7.. 

Providence  City 12.5 18.6 19.9 21.3 20.3.. 

Woonsocket 16.6 17.5 . . 

Providence  County 16.7 17.6.. 

Washington  County 14.5 14.7. . 

Whole  State 16.7  17.6 19.1. 


.20.8. 
,19.2. 
.15.3. 


....18.3.. 
....20.1.. 
....15.0.. 
....19.6.. 


17.6.. 
19.1.. 
16.4.. 
19.1.. 


1893. 
.19.9. 
,.19.4. 
.17.9. 
,19.1. 


.19.6 
.20.9. 
.18.6. 
.19.9 
.12.6. 
.19.6. 


1893. 
..20.0 
..20.7 
..20.1 
..20.0 


.  21.7 
..20.9 
..19.5 
..20.2 
..15.2 
..20.1 


1898. 


(JKNKIiAL    Sl'MMAKY. 


121 


The  proportiou  of  tleatliH  to  the  living-  populutiou,  in  1898,  was 
noticeably  smaller  than  the  annual  average  of  the  previous  six 
years  in  each  county  and  city  in  the  State. 

,      Table  XVI. 

Proportion  of  Births,  Marricu/es,  and  Deaths  to  the  Pojndatian,  in 

the  Wliole  State,  in  each  of  the  last  thirty 

years,  geometrically  estimated. 


YEAKS. 


1869 

1870 

1871 

1872 

1873 

1874 

1875 

1876 

1877 

1878 

1879 

1880 

1881 

1882 

1883 

1884 

1885 

1886 

1687 

1888 

1889 

1890 

1891 

1893 

1893 

1894 

1893 

1S96 

1897 

1898 


Popu- 
lation. 


BIRTHS. 


Number. 


211,380 
218,555 
225,968 
233,637 
241,561 
249,765 
358,239 
262,513 
266,850 
871,269 
275,753 
280.319 
284.960 
289,667 
294,460 
399,329 
304.284 
311,507 
318,907 
326,477 
334,233 
842,169 
3.50.293 
358.008 
367.125 
375,836 
384.7.58 
393,891 
403,245 
414,413 


5,245 
5,215 
5.676 
6.143 
6.022 
6.466 
6,508 
6,329 
6.235 
6.714 
6.350 
6.395 
6.761 
6,825 
7.046 
7,305 
7,028 
7,631 
7,668 
7,840 
8,230 
8,550 
9,436 
9.370 
10,048 
9,985 
9,882 
10.750 
10,795 
10,730 


Of  popu- 
lation, 
one  birth 
in  every 


40.3 
41.9 
39.8 
38.0 
40.1 
38.6 
39.7 
41.5 
43.8 
40.4 
43.4 
44.5 
42.1 
42.4 
41.8 
41.0 
43.3 
40.9 
41.6 
41.6 
40.7 
40.0 
37.2 
38.7 
36.5 
37.0 
38.9 
36. B 
87.4 
38.6 


MARRIAGES. 


Number. 


2.289 
2,362 
2,336 
2,537 
2,630 
2,541 
2,485 
2,253 
2,282 
2,324 
2,396 
2,769 
2,750 
2,634 
2,611 
2,558 
2,488 
2,750 
2,839 
3.032 
8,029 
8,195 
8,320 
3,502 
3,544 
3,371 
8,497 
8,.327 
8,187 
3,278 


Of  popu- 
lation, 
one  per- 
son mar- 
ried in 
every 


46.2 
46.2 
48.4 
46.0 
45.9 
49.1 
52.0 
58.3 
58.4 
58.4 
57.5 
50.6 
51.8 
55.0 
56.4 
58.5 
61.2 
56.6 
,56.2 
54.0 
55.2 
53.5 
52.8 
51.2 
51.9 
57.4 
55.0 
59.2 
64.3 
65.2 


DEATHS. 


Number. 


8,382 
3.238 
3,344 
4,247 
4,403 
4,229 
4,317 
4,116 
4.450 
4.441 
4,472 
4,839 
5.016 
5,074 
5,283 
5.141 
5,889 
5.848 
6,340 
6,594 
6,259 
6.934 
6,620 
7,396 
7,440 
7.160 
7.535 
7.504 
7,110 
6,905 


Of  popu- 
lation, 
one 

death  in 
every 


62.5 
67.5 
67.6 
55.0 
54.8 
59.0 
59.8 
63.8 
60.0 
61.1 
61.7 
58.0 
56.8 
57.1 
55.7 
58.2 
56.5 
53.8 
50.8 
49.5 
53.4 
49.3 
52.9 
48.5 
49.3 
52.5 
51.1 
52.5 
56.7 
60.0 


Deaths 
in  every 
1.000  of 
the  popu- 
lation. 


16.0 
14.8 
14.8 
18.2 
18.2 
16.9 
16.7 
15.7 
16.7 
16.4 
16.2 
17.2 
17.6 
17.5 
17.9 
17.2 
17.7 
18.8 
19.9 
20.3 
18.7 
20.3 
18.9 
20.6 
20.2 
19.1 
19.6 
19.1 
17.6 
16.7 


132  FORTY-SIXTH    EEGISTEATION    REPOKT.  [1898. 

During"  the  ten  years  1871-1880,  the  average  annual  birth  rate 
was  one  birth  to  every  39.7  of  the  population,  or  25.2  births  in 
every  1,000;  during-  the  ten  years  1881-1890,  the  average  birth 
rate  was  one  birth  in  every  41.0  of  the  population,  or  24.3  in  every 
1,000;  a  falling  off  of  a  proportion  of  nealrly  one  birth  in  every 
1,000  of  the  population. 

From  1891  to  1898  the  average  annual  birth  rate  was  one  birth 
in  every  37.7  of  the  population,  or  26.3  in  every  1,000. 

During  the  period  of  ten  years  1871-1880,  the  average  annual 
death  rate  was  one  in  every  58.4  of  the  population,  or  17.2  in  every 
1,000,  according  to  the  returns.  During  the  ten  years  1881-1890, 
the  average  annual  death  rate  was  one  in  every  53.3  of  the  popu- 
lation, or  18.8  in  every  1,000  of  the  living.  From  1891  to  1898  the 
average  annual  death  rate  was  one  in  every  53.6  of  the  population, 
or  19.0  in  every  1,000  of  the  living. 

It  must  be  remembered,  however,  that  the  returns  during  the 
last  ten  years  have  been  more  complete  than  in  previous  years. 


I 


I 


124 


FORTY-SIXTH  REGISTRATION   REPORT 


[1898. 


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BIRTHS,  isos. 


The  general  statistics  of  Inrths  in  Kbode  Island,  during-  the 
year  1808,  derived  from  the  returns  sent  to  the  office  of  the  State 
Registrar,  niaj'  be  found  on  pages  2  to  8,  inclusive,  in  Tables  I, 
II,  and  III. 

The  -whole  number  reported  is  10,730,  as  before  stated,  and  is 
65  less  than  the  number  in  1897. 

Sex  of  the  Children. 

Of  the  10,730  children  whose  births  were  registered  in  1898, 
there  were  5,443  males  and  5,287  females.  This  gives  102.9  males 
to  each  100  females,  or  507.3  males  and  492.7  females  in  each  1,000 
children. 

The  following  Table  shows  the  number  and  sex,  and  the  pro- 
portions of  each  sex,  of  the  children  born  in  Rhode  Island,  during 
the  ten  years  1854-18G3,  and  in  each  of  the  last  thirty-five  3'ears  : 

Table  XYJI. 


Males  to  each  Per  1,000  Births 

Years.  Males.  Females.  100  Females.  Males.  Females. 

1854-1S63 19.:i86 13.686 103.6.  or 508.S  and  491.2 

1864 1.949 1,W2 100.3.  or 500.9  and  499.1 

1865 2,096 1.857 112.9.  or 530.2  and  469.8 

1866 2,546 2.356 108.0,  or 519.4  and  480.6 

1867 2.665 2.464 107.0.  or 518.7  and  481.3 

1868 2,745 2,627 104.5,  or 511.0  and  489.0 

1869 2,685 2,500 101.9.  or 511.9  and  488.1 

1870 2,679 2,536 105.6,  or 513.7  and  486.3 

1871 2,878 2,800 102.8.  or 506.9  and  493.1 

1872 3,085 3,058 100.8,  or .502.2  and  497.8 

1873 3,145 2,887 108.6.  or 520.6  and  579.4 

1874 3.311 3,155 104.9,  or 512.1  and  487.9 

1875 3,-362 3.146 106.9,  or 516.6  and  483.4 

1876 3.291 3,038 108.3,  or 520.0  and  480.0 

1877 3,163 3,072 10.3.0,  or 507.3  and  492.7 

1878 .3,402 3,.312 102.7,  or 506.7  and  493.3 

1879 3,259 3,091 102.4,  or 513.2  and  466.8 

1880 3,241 3.0.->4 106.8,  or 514.8  and  485.2 

1881 8.498 3,2(V1 107.2.  or.    517.3  and  482.7 

1882 3,509 3.316 105.8,  or 514.1  and  485.9 

1883 .3.548  3.19S  101.4,  or  503.5  and  496.5 

1884 3,713 3.592 103.4,  or 506.3  and  491.7 

1885  3,591 3,437 104.4,  or 510.3  and  489.7 


128 


FORTY-SIXTH    REGISTRATION   REPORT. 


[1898. 


Table  XVII.— Contiimed. 


Years.        Males. 

1886 3,897. 

1887 3,968. 

1888 4,033. 

1889 4,193. 

1890 4,351. 

1891 4,926. 

1893 4,765. 

1893 5,105. 

1894 5,139. 

1895 5,136. 

1896 5,461. 

1897 5,493, 

1898 5,443. 


Males  to  each 
^Females.       100  Females. 

....3,724 104.6,  or.... 

....3,700 107.2,  or.... 

....3,817 105.4,  or.... 

,...4,027 104.1,  or..., 

....4,199 103.5,  or..., 

....4,500 109.5,  or.... 

...  4,5C5 105.8,  or..., 

....4,943 103.3,  or..., 

....4,856 , 105.6,  or.... 

....4,746 108.2,  or..., 

....5,289 103.3,  or... 

....5,303 103  6,  or..., 

....5,287 103.9,  or... 


Per  1,000  Births 
Males.  Females. 
...511.3  and  488.7 
..517.5  and  482.5 
...513.1  and  486.0 
...510.0  and  490.0 
...508.8  and  491.2 
...522.6  and  477.4 
...514.1  and  485.9 
...508.1  and  491.9 
...513.7  and  486.3 
...519.7  and  480.3 
...508.0  and  492.0 
...508.8  and  491.3 
...507.3  and  493.7 


The  average  proportion  for  forty -five  years  is  104.8  males  to 
every  100  females.  At  the  end  of  five  years  from  birth  the  num- 
ber of  each  sex  is  about  equal,  the  males  having  a  larger  mortality 
during  that  period. 

Proportion  of  the  Sexes.    Localities. 

In  Table  II,  on  pages  6  and  7,  will  be  found  the  number  of  chil- 
dren born  in  the  different  divisions  of  the  State  during  the  year 
1898,  together  with  the  number  of  each  sex. 

The  following  Table  will  give  more  concisely  the  whole  number 
of  children  born,  arranged  according  to  sex  and  locality,  and  the 
proportion  of  male  children  to  every  100  female  children : 

Table  XYIII. 


BIRTHS,  1898. 

If 

o  a 
«  S 

Mo 
o 

ftcl 

03  C 

t>  o  o 

PL 

a 
o 

■&^ 

S  d 

m  O 

Q 

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o 
ft 

12; 

a 
o 

$ 

03 

PL, 

O 

a  . 

o 

u 
Ph 

a 
o 
o 

® 
o 

.a 

Males 

153 
158 

501 
480 

76 

77 

788 
782 

325 
220 

287 
290 

291 
272 

524 
543 

2,182 
2,074 

417 
391 

5,443 

5,287 

Total 

310 
96.2 

9^ 
104.4 

153 
98.7 

1,570 
100.7 

445 
102.3 

577 
99.0 

563 
107.0 

1,067 
96.5 

4,256 
105.2 

808 
106.6 

10,730 

Males  to  each  100  females 

102.9 

Compared  with  the  previous  year,  the  decrease  in  the  propor- 
tion of  male  births  in  the  whole  State  was  0.7  per  cent. 

The  following  Table  exhibits  the  proportions  of  births  of  the 
sexes  for  the  past  thirty-six  years  in  the  larger  divisions  of  the 
State  and  in  the  whole  State  : 


]S98.] 


BIRTHS. 


120 


Table  XIX. 
Number  of  Males  to  each  100  Females. 


BIRTHS. 


166S. 
1864. 

1865. 
1866. 
1867. 
1868. 
1869. 
18T0. 
1871 . 
1872. 
1873. 
1874. 
1675. 
1876. 
1877. 
1878. 
1879. 
1880. 
1881. 
1882. 
1883. 
1884. 
1885. 
1886. 
1887. 
1888. 
1889. 
1890. 
1891. 
1892. 
1893. 
1894. 
1895. 
1896. 
1897. 


120.0 

106.8 

119.8 

109.4 

115.5 

117.4 

115.7 

126.4 

131.8 

109.2 

129.2 

98.7 

95.2 

142.1 

138.7 

120.5 

124.3 

117.2 

91.2 

94.7 

94.0 

105.0 

132.2 

120.0 

115.1 

98.1 

81.9 

96.5 

107.1 

120.0 

90.7 

103.4 

118.4 

96.5 

101.2 

90.2 


c  c 

9)  3 

\£  o 

o 


98.4 
87.3 
118.2 
113.1 
98.3 
88.7 
116.7 
111.6 
97.9 
92.8 
113.0 
111.9 
103.1 
104.4 
102.4 
120.6 
95.5 
110.5 
111.3 
110.2 
97.6 
111.7 
107.3 
81.7 
121.7 
105.1 
122.0 
113.0 
110.4 
102.1 
101.8 
102.4 
116.3 
95.4 
108.4 
104.4 


o  >• 


97.0 

90.6 

108.8 

103.4 

117.8 

100.2 

102.7 

100.0 

132.5 

109.1 

117.9 

101.3 

97.7 

108.5 

98.5 

94.8 

103.6 

113.5 

102.0 

112.5 

97.0 

92.9 

98.0 

102.6 

106.6 

105.0 

107.5 

106.8 

118.4 

102.4 

97.7 

181.1 

100.8 

108.7 

97.5 

98.9 


111 

1^^ 


iJ>i 


101.8 
107.4 
118.8 
104.9 
106.3 
101.6 
98.0 
105.1 
100.8 
103.5 
104.5 
110.4 
104.3 
108.0 
100.3 
101.5 
105.4 
102.4 
105.9 
103.1 
103.5 
102.5 
104.8 
100.7  j 
103.9  I 
103.4 
103.6 
108.5 
107.0  j 

110.7  I 

I 
104.1 

I 

110.2  ! 
105.0  I 
102.4 
103.9 
101.6 


111.4 
97.8 
113.8 
108.4 
104.5 
102.4 
107.5 
104.9 
95.2 
95.7 
109.0 
102.9 
109.1 
106.8 
104.9 
106.8 
105.7 
107.6 
109.0 
106.5 
102.2 
105.8 
103.6 
105.0 
107.9 
107.4 
101.4 
98.3 
109.1 
100.0 
104.1 
99.6 
109.6 
105.8 
104.4 
105.8 


59 
So 


108.7 
103.4 

88.1 
124.0 
120.4 
136.5 
120.6 

99.5 
113.3 
110.6 
104.7 

94.0 
134.3 
103.7 

95.3 

76.8 
106.3 

95.4 
115.7 
105.7 
102.2 

99.0 
104.3 
121.7 
106.7 
110.2 
110.2 

97.4 
106.4 

98.5 
109.0 
106.5 
115.6 
108.5 

96.2 
102.8 


^ 


105.8 
100.3 
112.9 
108.7 
107.7 
104.5 
104.9 
105.6 
102.8 
100.9 
108.6 
104.9 
106.9 
108.3 
103.0 
102.7 
105.4 
106.1 
107.2 
105.8 
101.4 
103.4 
104.4 
104.6 
107.2 
105.4 
104.1 
103.6 
109.5 
105.8 
105.8 
105.6 
108.2 
103.3 
103.6 
102.9 


*  Including  city  of  Newport,    t  Including  cities  of  Central  Falls,  Pawtucket,  and  Woonsocket. 


130 


FORTY-SIXTH    REGISTRATION    REPORT. 


[1898. 


There  will  be  found  in  the  following  summary  in  the  aggregate, 
the  average  number  of  males  to  each  100  females,  born  during 
the  thirty-six  years  from  1863-1898,  in  the  different  divisions  of 
the  State : 

Bristol  County lll.l  males  to  each  100  females. 

Kent  County 105.6  males  to  each  100  females- 
Newport  County* 104.8  males  to  each  100  females. 

Providence  County  Townst 104.9  males  to  each  100  females. 

Providence  City 104.9  males  to  each  100  females. 

Washington  County 107,1  males  to  each  100  females. 

Whole  State 108.0  males  to  each  100  females. 

Births  and  Season. 

Table  II,  on  pages  6  and  7  of  this  report,  gives  the  number  of 
births  occurring  in  the  different  months  of  the  year,  in  the  several 
divisions  of  the  State. 

According  to  this  Table,  the  greatest  number  of  births  in  any 
one  month,  in  1898,  occurred  in  August,  and  the  largest  in  any 
quarter  in  the  third. 

The  following  table  shows  the  total  number  of  children  born 
in  the  State  of  Rhode  Island,  according  to  the  returns,  in  each 
quarter  of  each  of  the  last  six  years ;  and  also  the  aggregate 
number  and  the  percentage  of  the  aggregate  of  each  quarter  in 
forty-five  years,  from  1854  to  1898,  inclusive : 

Table  XX. 


1898. 

1897. 

1896. 

1895. 

1894. 

1893. 

2,374 
2,291 

2,674 
2,709 

10,048 

1854-1898, 

inclusive. 

quarters. 

Number. 

Per  cent. 

2,686 
2,562 
2,802 
2,680 

2,749 
2,386 
2,983 
2,677 

2,604 
2,461 
2,790 
2,895 

2,260 
2,345 
2,704 
2,573 

2,368 
2,511 
2,524 
2,583 

68,844 
68,604 
76,043 
76,749 

23.72 

23.64 

26.20 

26.44 

Whole  Year 

10,730 

10,795 

10,750 

9,882 

9,985 

290,240 

100.00 

Table  XX  presents  results  showing  that,  according  to  the  regis- 
tration of  forty-five  years,  the  average  proportions  of  births  to 
the  whole  number  of  births  in  the  different  quarters  of  the  year 
were  as  follows : 


*  Including  Newport  city.  t  Including  Pawtucket,  Central  Falls,  and  Woonsocket. 


1808.]  ijiiniis.  131 

January— March 2'17.2  in  every  1,000  births. 

April-June 230.4  in  every  1,000  l)irths. 

July— September 202.0  in  every  1,000  l)irlhs. 

October— December •■iVAA  in  every  1,000  birtlis. 

The  proportions  of  birtlis  in  Rhode  Ishiiul,  in  tlie  different 
quarters  of  the  year,  to  the  whole  number  of  births  in  1898,  were 
as  follows : 

1.    -lanuary— !Marcli •ih.O  per  cent.,  or 250  in  every  1,000 

3.    April— June  23.9  per  cent.,  or. 239  in  every  1,000 

3.  July— September 26.1  per  cent.,  or 201  in  every  1,000 

4.  October— December 2.5.0  per  cent.,  or 250  in  every  1.000 

First  six  months 489  birtlis  in  every  1,000  of  whole  number. 

Second  six  months 511  births  in  every  1,000  of  whole  number. 


Births.    Sex  and  Seaso7i. 

In  Table  II,  on  pages  6  and  7,  will  also  be  found  the  number  of 
births  of  eacJi  sex  by  months,  as  they  occurred  in  the  difterent 
divisions  of  the  State,  during  the  year  1898.  From  it  we  ascer- 
tain the  number  of  each  of  the  sexes  born  during  each  quarter  of 
the  year,  with  their  relative  proportions,  and  also  the  aggregates 
and  proportions  of  the  same  for  the  whole  State, 

The  following  Table  will  present  a  summary  of  the  quarterly 
periods,  number  of  births,  and  proportions  of  the  sexes,  for  the 
same  year. 

Per  1,000 
Males  to  each  each  quarter. 

Males.  Females.  100  Females.  Males.       Females. 

1.  January— March 1,382 1,304 106.0 515 485 

2.  April— June 1,290 1,266 102.4 500 494 

8.    July -September 1,420 1,882 102.T ."iOT 493 

4.    October -December 1,.345 1,.385 100.7 502 498 

Whole  Year 5,443 5,287 102.9 .507 493 

The  following  Table  shows  the  number  of  male  children  born 
to  every  100  female  rhildron,  in  each  (quarter  of  the  last  three 
years ;  and  also  the  i)roportiou  of  births  of  male  children  to  each 
100  female  children  born  during  six  periods  of  five  years  each, 
from  ISGG  to  1895,  inclusive  : 


132 


FOKTY-SIXTH    REGISTRATIOX    EEPORT. 

Table  XXI. 


[1898. 


YEARS. 


1897.    1896. 


;  years,  years,  years,  rears,  years,  years, 
1891  to  IS86  to  ISSl  to  18T6  to  1871  to  1866  to 
I  1895.      1890.      1SS5.      1880.      1875.      1870. 


First  Quarter 106.0      97.6  i  101.9 

Second  Quarter 102.4    108.7    101.6 

102.7  j  101.7    105.1 
100.7  '  107.7  '  104.2 


Third  Quarter 

Fourth  Quarter 

Total  Ayerage 102.9    103.6    103.3  !   106.5 


104.6 
107.3 
108.6 
105.8 


104.3 

105.8 

106.0 

101.5 

105.4 

104.8 

102.7 

104,7 

104.6 

105.1 

107.1 

104.8 

106.5 

103.5 

108.2 

106.5 

106.6 
107.3 
106.0 
i04.8 


105.2      104.5      106.2      104.2  I    106.2 


The  above  Table  shows  the  vaiiation  of  the  proportions  of  the 
sexes  in  the  different  quarters  in  the  different  years,  and  seems  to 
conchisivelj'  determine  that  season  has  very  little,  if  any,  influence 
in  the  causation  of  sex. 

Paeentage. 

By  reference  to  Table  I,  page  4,  in  the  division  of  births,  there 
will  be  found  the  parentage  of  the  children  born  in  Ehode  Island 
during  the  year  1898.  It  will  be  seen  that  of  the  whole  number,. 
10,730,  there  were  3,413  of  native  parentage,  5,307  foreign,  and 
2,010  of  mixed  parentage. 

By  mixed  parentage  is  meant  the  children  born  of  native  fathers 
and  foreign  mothers,  and  of  foreign  fathers  and  native  mothei*s. 

Of  native  fathers  and  foreign  mothers  there  were  1,014,  and  of 
foreign  fathers  and  native  mothers,  996. 

The  following  Table  will  show  the  number  and  parentage  of 
the  childi'en  born  in  the  State  and  the  vai-iations  of  the  same 
from  year  to  year,  in  each  of  the  last  three  years ;  and  also  the 
number  and  variations  occurring  in  four  periods  of  five  years 
each,  and  two  of  ten  years  each,  from  1858  to  1898,  inclusive : 

Table  XXn. 


PARE  >"T  AGE. 

1898. 

1897.    1896. 

years. 
1893  to 
1897. 

5 
years, 

1888  to 
1892. 

5 
years. 

1883  to 
1887. 

5            10 

years,  years, 

1878  to  1868  to 

1882.      1877. 

10 
years, 
1858  to 
1867. 

NatiTB  father  and  mother 

3,413 

3,453 

3,422 

16,762 

16,511 

15,001 

14,169 

^,645 

20,321 

Foreign  father  and  mother 

5,307 

5,318 

5,292 

25,084 

18,737 

15,245 

13,562 

26,356 

19,665 

Native  father,  foreign  mother. . 

1,014 

998 

l,a39 

4,819 

4,021 

3,044 

2,327 

3,135 

1,690 

Foreign  father,  natiye  mother. . 

996 

1,026 

997. 

4,795 

4,037 

3,378 

2,887 

4,077 

1,696 

293 

10,730 

36,668 

Total 

10,7^ 

10,750 

51,460 

43,306 

32,945 .  59,213 

43.665 

1898.] 


BIRTHS. 


133 


Tlie  followiug-  Table  of  j^crceiitages  will  show,  in  u  difiereut  and 
perhaps  clearer  way,  the  same  chanw-es  that  have  occuned  in  the 
proportions  of  the  births  in  the  different  classes  of  parentage 
dining  the  last  three  years ;  and  during  forty-one  years,  from  1858 
to  1898,  inclusive,  in  four  periods  of  five  years  each  and  two  of 
ten  years : 

Table  XXIII. 


PARENTAGE. 

1898.    1897. 

1896. 

5 

years, 

1893  to 

1897. 

5 

years. 
1888  to 
1892. 

5            5           10     1     10 

years,  years,  years,    years. 

1883  to  1878  to  1868  to  185S  to 

1887.      1882.  j  18T7.   ,  ISti". 

1              1 

Native  father  and  mother 

31.81 

31.99    31.83 

32.60 

.38.25 

40.91 

43.03 

43.36 

46.84 

Foreign  father  and  mother 

49.46 

49.26    49.23 

48.73 

43.14 

41.58 

41.23 

44.53 

45.38 

Native  father,  foreign  mother.. 

9.45 

9.25 

9.67 

9.86 

9.30 

8.30 

6.% 

5.37 

3.89 

Foreign  father,  native  mother.. 

9.28 

9.50 

9.27 

9.31 

9.31 

9.21 

8.79 

6.74 

3.91 

Total    

100.00 

i 
100.00  100.00 

100.00 

100.00 

100.00 

100.00 

100.00    100.00 

The  registration  of  births,  in  1898,  is  of  interest  as  showing  a 
smaller  proportion  of  children  born  of  native  fathers  than  of  for- 
eign fathers.  A  considerable  number  of  those  recorded  as  native 
fathers  were  themselves  children  of  foreign  parentage. 

The  percentage  of  children  of  mixed  parentage  was  about  the 
same,  in  1898,  as  in  the  previous  year. 

The  following  table  will  present  the  percentages  of  children  of 
native  and  of  foreign-born  fathers,  and  of  native  and  foreign-liorn 
mothers,  respectively,  in  each  of  the  last  three  years,  and  in  each 
of  four  periods  of  five  yeai"S  each  and  two  of  ten  years  each,  fi-om 
1858  to  1898,  inclusive  : 

Table  XXTV^ 


CHILDREN  WITH 


1897. 


1896. 


5       I       5       '       5       I      5      1      10     i      10 
years, '  years,  years,  i  years,  years,  years, 
1893  to  1S88  to  188;i  to  1878  to  1868  to  1S58  to 
1897.      1892.  i  1887.  I  1883.  ;  1877.  ;  1867. 


Native  fathers 41.26 

Foreign  fathers i  58.74 

Native  mothers '41.09 

Foreign  motliers 58.91 

17 


41.24    41.50 
58.76  i  58.50 


41.49  \  41.10 
58.51  I  58.90 


41.96 
58.04 


41.91 
58.09 


47.56     49.21  j  50.08 
52.44     51.79     49.98 


47.57 
52.43 


49.91     51.79 
50.09  ;  48.21 


48.7S 
51.27 


50.73 
49.26 


50.10     50.75 
49.90     49.25 


134  FORTY-SIXTH    REGISTRATION    REPORT.  [1898. 

The  percentage  of  the  children  born  of  foreign  fathers  and  of 
foreign  mothers,  during  1898,  was  about  the  same  as  in  1897. 

The  number  of  native  fathers  of  children  born,  in  1898,  was 
1,876  less  than  the  number  of  foreign  fathers,  and  the  number  of 
native  mothers  was  1,912  less  than  of  foreign. 


Births  of  Colored  Children. 

The  number  of  births  of  children  of  colored  parentage  reported 
for  the  year  1898  is  216.  This  number  is  10  more  than  in  1897, 
and  also  10  less  than  in  1896. 

In  regard  to  sex,  the  numbers  and  proportions  were  as  follows, 
viz. :     males,  105  ;  females,  111 ;  or  94.6  males  to  each  100  females. 

As  the  number  of  colored  persons  in  the  State  was,  according 
to  the  census  of  1895,  7,928,  the  ratio  of  births  in  this  class  would 
be  27.2  per  thousand,  or  1  to  each  36.7  colored  inhabitants. 

The  following  summary  will  show  the  changes  that  have  occurred 
from  year  to  year,  in  the  proportions  of  the  sexes  of  colored  chil- 
dren born  in  Rhode  Island,  during  the  last  twenty -three  years : 

Whole  Males  to  each 

Years.  Number.  Males.  Females.  100  Females. 

1876-1885 1,763 849 913 93.0 

1886 213 117 95 123.0 

1887 311 Ill 100 111.0 

1888 203 109 93.. 117.3 

1889 194 87 107 81.3 

1890 183 89 94 94.6 

1891 173 86 87 98.9 

1892 183 94 88 106.8 

1893 203 91 113 81 .3 

1894 221 113 108 104.6 

1895 221 117 104 113.5 

1896 336 104 123 85.3 

1897 206 100 106 94.3 

1898 216 105 Ill 94.6 

The  following  Table  will  show  the  location,  number,  sex,  etc., 
of  colored  births  durins-  1898  : 


1898. 


JtlKTIIS. 


135 


Table  XXV. 
Shounny  Number,  Sex,  etc.,  of  Colored  JJIr/hs,  1S98. 


TOWNS  AND  CITIES. 


Barriiigton 

Rristol 

Warwick 

Jamestown 

Newport  Citt 

New  Shoreham 

Portsmouth 

Central  Falls 

Cranston 

East  Providence 

Johnston 

Pawtucket 

Providence  Citt  — 

Narragansctt  District 

North  Kingstown 

South  Kingstown 

Richmond 

Westerly ^ 

Whole  State 


Whole 

Males. 

Females. 

Number. 

1 
2 

1 

1 

1 

.3 

3 

3 

3 

34 

17 

IV 

1 
3 

1 
3 

3 
3 

3 
o 

1 

3 

2 

1 

1 
5 

1 

3 

2 

133 

08 

C.5 

2 

1 

1 

3 

2 

1 

11 

G 

5 

1 
4 

1 
1 

3 

216 

105 

111 

COUNTIES. 


Bristol  County 3 

Kent  County 3 


Newport  County 41 


Providence  County..  148 


Washington  County.    21 
216 


Number  of  Child  of  the  Mother. 

In  the  following-  tulile  will  be  found  the  number  of  the  child  of 
the  mother  born  during"  1898 ;  that  is,  how  many  of  the  children 
born  were  reported  as  the  first,  second,  or  third  child,  etc.,  of  their 
respective  mothers.  The  statistics  on  tliis  subject  beg-in  with  the 
year  1857,  and  the  following  Table  includes  the  children  rei)orted 
during  the  last  six  years,  and  also  the  total  for  forty-two  3'eai"S, 
1857  to  1898,  inclusive  : 


136 


POETY-SIXTH    EEGISTEATIOSr    REPORT. 

Table  XXVI. 


[1898. 


Number  of  tub  Child  of  the  Mother. 


1893. 


1894. 


1895. 


1896. 


1897. 


1898. 


42  years, 
1857-1898, 


First 

Second 

Third . 

Fourth 

Fifth 

Sixth 

Seventh  

Eighth 

Ninth 

Tenth 

Eleventh 

Twelfth 

Thirteenth 

Fourteentli 

Fifteenth 

Sixteenth 

Seventeenth  — 

Eighteenth  

Nineteenth 

Twentieth 

Twenty-first 

Twenty-second. 
Unstated 


a,500 
1,981 
1,484 
1,138 
825 


297 

224 

160 

107 

81 

44 

23 

12 

9 

3 

1 

1 


100 


Total 10,048 


2,377 

2,026 

1,519 

1,106 

818 

578 

445 

306 

203 

148 

112 

73 

71 

28 

12 

12 

3 

4 


2,329 

2,008 

1,512 

1,129 

895 

640 

429 

304 

203 

148 

102 

65 

36 

27 

22 

5 

2 

2 

2 


2,574 

2,125 

1,672 

1,233 

918 

666 

488 

337 

259 

161 

123 

71 

40 

26 

12 

13 

4 

3 

3 


2,438 

2,098 

1,687 

1,291 

927 

712 

499 

342 

260 

180 

132 

89 

50 

37 

14 

6 

4 


142 


22 


22 


2,393 

2,059 

1,631 

1,310 

982 

715 

532 

378 

231 

180 

105 

80 

54 

33 

10 

5 


67,871 

55,280 

42,866 

32,350 

24,152 

17,705 

12,711 

9,038 

6,130 

4,175 

2,599 

1,678 

975 

517 

272 

142 

80 

35 

24 

8 

4 

S 

334 


9,985 


9,882 


10,750 


10,795 


10,730 


278,948 


There  was  a  decrease  of  65  in  the  whole  number  of  births  in 
1898  from  the  number  in  1897. 

There  are  varying  differences  in  the  proportions  of  all  classes 
in  the  different  years. 

The  most  of  those  in  the  class  "  Unstated  "  (number  of  the  child 
of  the  mother)  were  French  Canadians  and  Italians. 

There  were  eight  returns  of  births  in  the  seventeenth  and  three 
in  the  nineteenth  classes. 

The  proportion  of  each  class  to  the  whole  number  will  be  shown 
by  the  following  Table,  which  gives  the  percentage  of  the  children 
born  in  each  of  the  last  four  years  who  were  respectively  the  first, 
second,  third,  etc.,  children  of  the  mothers ;  and  which  will  also 
give  the  average  percentage  of  each  class  of  births  in  each  of  the 


18!JS. 


nruTirf!. 


137 


last  four  years,  and  also  in  two  ])eriods  of  ten  years  and  two 
periods  of  live  years  cominTsinq-  the  tliirty-one  years  from  1808 
to  181)8,  inclusive  : 


Ni:mi!?;i!  or  I'lii-;  ( 'iiii.i). 


First 

Second  

Third 

F<iiirtli 

Fifth 

First  to  Fifth 

Sixth  and  over,  and  unstated 

Total 


1898. 


22.30 
10.19 
15.20 
12.20 
9.15 


78.04 
21.90 


100.00 


1807. 

22.58 
19.43 
15.03 
11.9G 
8.59 


78.19 
21.81 


100.00 


1890. 


23.94 
19.77 
15.55 
11.47 
8.54 


79.27 
20.63 


1895. 


23.57 
20.32 
15.30 
11.42 
9.06 


79.67 
20.33 


100.00  100.00 


5 

years, 
1893  to 
1897. 


28.78 
19.90 
1.5.29 
11.45 
8.52 


78.94 
21.00 


100.00 


5 
years, 
1888  to 
1892. 

10 

years, 

1878  to 

1887. 

10 
years, 
1808  to 

25.20 

23.7 

25.2 

19.77 

19.1 

20.7 

14.94 

15.5 

1.5.5 

11.10 

11.7 

11.4 

8.23 

8.8 

8.4 

79.24 

78.8' 

81.1 

20.76 

21.2 

18.9 

100.00 

100.0 

100.00 

Table  XXVII. 

Shoiviug  the  Ages  of  tJie  Fathers  and  Mothers  of  Children  horn 

in  1898. 


Ages 

OF  Mothers. 

05 

Ages  of  Fathers. 

u 

in 

1 
1 
1 
5 

12 

£ 

od 
>> 

00 

£ 

2 

n 

1 

t 

o 

CO 

^ 
^ 
^ 
§ 

o 

in. 

3 

i 
<i> 
>^ 

o 

£ 

SS 

? 

in 
in 

o 
in 

13 

1 

O 

d 
{5 

18  years 

1 

14 
1 

1 

1 
6 
14 
22 
2 

1 

8 
67 
35 
6 
S 
1 

5 
98 
45 
17 

8 

2 

7 

769 

1,109 

332 

91 

23 

15 

8 

1 

1 
1 

162 

1,401 

1,078 

397 

85 

29 

3 

8 

1 

2 

r. 

19  years 

16 

239 

1,106 

718 

242 

101 

14 

6 

1 

1 

1 

29 

1.58 

719 

454 

164 

47 

7 

7 

29 

20-25  years 

1 
2 

18 

84 

256 

168 

57 

15 

2 

1 

] 

I.IU 
2888 

25-30  years 

30-35  years 

1 
1 

12 
28 
9 
4 

2,719 

2,021 

1,078 

505 

.35-40  years 

40-45  years 

:: 

45-50  years 

50-55  years 

183 

55-00  years 

36 

GO  05  years, 

11 

05-70  years 

3 

70-75  years 

2 
4 

a 

ITnstated 

2 

3 

7 

IS 

42 

19 

10 

59 

159 



Number  of  Mothers. . . 

8 

19 

48 

128 

186 

2,394 

3,182 

2,453 

1,593  j 004 

55       1 

59 

10,780 

138  FORTY-SIXTH    EEGISTRATIOK    REPORT.  [1898. 

The  nativity  of  the  mothers  under  19  years  was  as  follows  :  of 
the  eight  at  15  years,  4  were  American,  2  were  Italian,  1  was 
Canadian,  and  1  Portuguese. 

Of  the  nineteen  at  16  years,  17  were  American,  1  was  Scotch, 
and  1  Italian. 

Of  the  forty-eight  at  17  years,  25  were  American,  9  Italian,  6 
Canadian,  3  Portuguese,  2  Armenian,  2  Swedish,  and  1  Russian. 

Of  the  one  hundred  and  twenty-eight  at  18  years,  81  were 
American,  20  Canadian,  8  Italian,  5  English,  4  Portuguese,  3  Rus- 
sian, 2  Swedish,  1  Armenian,  1  Irish,  1  Nova  Scotian,  1  Scotch,  1 
Syrian. 

The  10,730  children  were  divided  as  follows,  to  mothers  of  dif- 
ferent age  periods  : 

Number  of  Mothers.  Per  cent. 

Under  twenty  years 389 3.63 

Twenty,  and  under  twenty-five 2,.394 22.31 

Twenty-five,  and  under  thirty 3,182 29.65 

Thirty,  and  under  thirty-five 3,453 22.86 

Thirty-five,  and  under  forty 1,593 14.85 

Forty,  and  under  forty-five 604 .- 5. 63 

Forty-five  and  over 56 53 

Unstated  age 59 55 

Total 10,730 100.00 

Plurality  Births. 

The  general  statistics  in  relation  to  plural  births,  in  Rhode 
Island,  may  be  found  on  page  8,  table  III. 

There  were  one  hundred  and  fifteen  cases  during  the  year,  one 
hundred  and  twelve  of  which  were  twins  and  three  were  triplets, 
thus  making  the  number  of  two  hundred  and  thirty-three  children. 

Of  the  233  children  of  plural  birth,  109  were  males  and  124  were 
females. 

The  cases  occurred  in  the  different  divisions  of  the  State  as  fol- 
lows :  Bristol  county,  1 ;  Kent  county,  8  ;  Newport  county  towns, 
3 ;  Newport  city,  10 ;  Providence  county  towns,  32* ;  Providence 
city,  50 ;  Washington  county,  8. 

The  following  exhibit  will  show  the  parentage  of  children  of 
plural  birth  in  Rhode  Island,  in  1898,  and  number  of  each  : 

*  Including  Central  Palls,  Pawtucket,  and  Woonsocket. 


1808.]  itiiiTiFS.  130 

Parents  both  native  Americans v;5 

•'         "     Austrlans 1 

"     British  Americans 2 

"     French  Canadians 17 

"         "     born  in  England '^ 

France 1 

"         "          '■      Germany 2 

Ireland 12 

Italy 8 

"         "           "       Portugal 4 

"         ■*           ■'       IJussia , 3 

Scotland o 

Sweden 1 

Native  father  and  British  American  mother 2 

Native  father  and  F"renfli  Canadian  mother 3 

Native  father  and  Enijrlish  mother 2 

Native  father  and  Irish  mother 7 

Belgian  father  and  Irish  mother j 

British  American  father  and  Irish  mother 2 

English  father  and  American  mother 4 

English  father  and  Irish  mother 2 

French  Canadian  father  and  American  mother 2 

German  father  and  Swiss  mother 1 

Irish  father  and  native  mother 0 

Irish  father  and  English  mother 1 

Norwegian  father  and  Swedish  mother 1 

Scotch  father  and  British  American  mother 1 

Total  births 115 

Total  children 233 

The  months  in  which  the  phirality  births  occurred  Avere  ;is  t\)l- 
lows  : 

■lanuary 18       April 7       July M       October 7 

February 0       May 12  •     August 12       November 9 

March 10       June  5       September -1       December 8 

First  Quarter 37       Second  (Juartor. .  .21       Third  Quarter 30       Fourth  Quarter.. .  .24 

First  half  of  year 01  Second  half  of  year 5» 

Total 11.-, 

The  soii^i'il  stiitistics  of  births,  aiul  number  of  C(m\s  reported 
in  Rhode  Ishind  during-  a  period  of  forty -live  years,  that  is,  from 
1854  to  1808,  inclusive,  are  as  follows  : 


140  FORTY-SIXTH    REGISTRATION"    REPORT.  [1898. 

385,740  cases  of  single  births giving  285,740  children. 

3,015  cases  of  twin  births giving     6,030  childi'en. 

31  cases  of  triple  births giving         93  children . 

1  ease  of  quadruple  births giving  4  children. 

Of  tlie  whole  number  of  cases  of  child-birth  (288,787)  during  the 
forty -five  years,  one  in  95.8  produced  twins,  one  in  9,316  produced 
triplets,  and  one  in  288,787  produced  quadruplets. 

Of  the  whole  number  of  children  born  during  the  same  period 
(291,867),  ascertained  from  the  reports,  one  in  every  48.4  was  a 
twin ;  one  in  every  3,138  was  a  triplet. 

Of  the  3,047  cases  of  plurality  births  which  have  occurred  in  the 
State  during  the  last  forty-five  years,  there  were  1,154  cases  in 
which  both  parents  were  natives  ;  1,461  cases  in  which  both  parents 
were  foreign ;  423  cases  in  which  the  parents  were  mixed,  that  is, 
one  native  and  one  foreign  parent ;  and  9  in  which  the  parentage 
was  not  stated. 

The  whole  number  of  children  born  in  plurality  cases,  during 
the  forty-five  years,  was  6,127,  of  whom  3,089  were  males,  and 
3,034  were  females ;  the  sex  of  the  remaining  four  was  not  given. 

Still-Born. 

The  whole  number  of  still-born  children  reported  in  Rhode 
Island,  for  the  year  1898,  was  413 ;  this  number  is  10  less  than  for 
the  year  1897. 

The  following  are  the  numbers  reported  from  the  different  divis- 
ions of  the  State : 

Bristol  County 11 

Kent  County 33 

Newport  County  Towns 11 

Newport  City 31 

Providence  County  Towns 60 

Central  Falls 8 

Pawtuoket 28 

Providence  City 208 

Woonsocket 20 

Washington  County 13 

Whole  State 413 

The  following  Table  will  give  the  number  in  each  town  from 
which  still-births  were  reported,  with  the  sex,  parentage,  and 
color  : 


1898.] 


BIRTirS. 


141 


Ta]$le  XXVIII. 
Still-Born,  1898,  LocaHiy,  Number,  Sex,  Parentage,  and  Color. 


TOWNS  AND   DIVISIONS   OF 
THE   STATE. 


Bristol 

Warren  

Bbistol  Coux'] 


Coventry  

East  Greenwich. 

Warwick 

Kemt  County... 


Little  Compton 

Middletown 

Newport  City 

New  Shoreliam 

Portsmouth 

Tiverton 

Newport  County  . 


Burrillville 

Central  Falls 

Cranston 

Cumberland 

East  Providence 

Glocester 

Johnston  

Lincoln 

North  Providence  — 

Pawtucket 

Providence  City 

Soituate 

woonsocket 

Providence  County, 


Exeter 

North  Kingstown. 
South  Kinpstown. 

Westerly 

Washington  Coi> 


42 

4 

8 
12 

8 
14 

1 

3 
12 

3 
28 
208 

8 


324 

3 

6 
1 
3 


Total 418 


18 


17 

112 

2 

12 
182 


PARENTAQK. 


142 
3 


10 


240       178 


10 


13 


2 
12 

3 
15 
131 

1 
12 


120 

198 

3 

5 

1 

1 

1 

2 

4 

8 
12 

8 
14 

1 

3 
12 

3 
28 
193 

8 
20 


309 
3 


13 

393 


15 


142 


FORTY-SIXTH    KEGISTEATION   EEPORT. 


[1898. 


Summary  of  Sex  of  Still- Born. 

The  following-  table  shows  the  number  and  sex  of  the  still-born 
children  whose  births  were  reported  in  Rhode  Island  during-  each 
of  the  last  five  years,  and  also  of  a  period  of  forty -five  years,  ex- 
tending from  January  1,  1854:,  to  December  31,  1898 : 

Table  XXIX. 


Jan.  1,  1854, 

SEX. 

1898. 

1897. 

1896. 

1895. 

1894. 

to 
Dec.  31,  1898. 

Males 

240 

258 

244 

233 

211 

6,470 
4,591 

Females 

173 

165 

180 

144 

181 

Total 

413 

423 

424 

367 

392 

11,061 

The  average  proportions  of  the  sexes  of  the  still-born,  for  the 
period  of  forty-five  years,  were  as  follows :  In  every  100  still- 
births there  were  about  58  males  and  42  males. 

Season  of  Still-Births. — During  1898  the  proportions  in  relation 
to  season,  by  percentage,  were  as  follows : 

1898.  1898. 

First  Quarter 25.42       Third  Quarter 22.52 

Second  Quarter , 27.60       Fourth  Quarter 24.46 


Per  cent,  first  half  of  the  year 53 .  02       Last  half  of  the  year , 


46.98 


The  births  of  the  still-born  in  the  different  months  of  the  year, 
although  somewhat  variable  in  number,  do  not,  as  a  rule,  show- 
great  discrepancies. 


Parentage  of  the  Still-Boen. 

Of  the  413  still-born  children  reported  in  1898  there  were  176 
of  native,  and  237  of  foreign  parentage,  reckoned  by  the  nativity 
of  the  fathers,  that  is,  the  father's  name  given :  and  171  of  native 
and  242  of  foreign,  reckoned  by  the  nativity  of  the  mothers,  name 
of  father  given  or  not  given. 


1898.] 


BITlTnS. 


143 


Illegitimates. 

In  the  following-  Table  will  be  found  the  whole  inimbor  of  ille;,'-it- 
inijite  births  returned  during  1898,  with  the  sex,  color,  parentage, 
and  locality  of  birth  : 

Table  XXX. 
Illegitimates,    1S98.  '» 


S 

a 

o 

ja 

SEX. 

COLOR. 

PAnENTAOE. 

"3 

TOWNS. 

Is 

a 

6 

3 

O 

5 

1 

•cc 

a  o 

|l 
1'" 

Bristol 

1 
1 
1 

8 
1 
2 

6 
3 

2  i 
70 
3 
2 
2 
1 

1 

1 
1 

2 
2 
3 

37 

4 

1 

83 
1 
2 
2 

1 
1 

1 
2 

1 
1 
5 
3 
1 
1 
1 
1 
1 
1 
2 
61 
3 
2 
2 
1 

1 

1 
1 

9 

1 

1 
1 
7 
1 
2 
6 
2 

43 

2 
2 

1 

1 

1 
1 

NEwroKT  City 

2 

1 

5 

East  Providence 

1 

Qlocester 

Lincoln 

North  Smithfield 

1 

27 
3 

43 

Charlestown 

UopkintOD 

111 

56 

55 

99 

12 

76 

35 

51 

There  were  returns,  dTuing  1898,  of  111  children  of  illegitimate 
parentage.     The  number  is  17  less  than  that  of  the  previous  year. 

Sex. — Of  the  111,  there  were  56  males  and  55  females. 


144 


FORTY-SIXTH   REGISTRATION   REPORT. 


[1898'. 


Color. — Of  tlie  111  illegitimates  born  during-  1898,  99,  or  89,2 
per  cent.,  were  white ;  and  12,  or  10.8  per  cent.,  were  colored. 

Parentage. — Of  the  111,  76,  or  68.5  per  cent,  of  all,  were  born  of 
native  mothers  ;  and  35,  or  31.5  per  cent.,  of  foreign  born  mothers. 
The  colored  illegitimates  were  all  of  native  parentage.  There 
were  of  the  99  white  illegitimates,  64  born  of  native  mothers,  and 
35  of  foreign  mothers. 

The  ages  of  the  mothers  were  as  follows  : 


No.  of 
Age.  Mothers. 

16 3 

17 3 

18 ,..  7 

19 14 

20 15 

31 9 

32 4 


No.  of 
Age.  Mothers. 

23 14 

24 4 

25 6 

26 2 

27 9 

28 4 

29 2 


No.  of 
Age.  Mothers. 

30 8 

31 3 

33 t 

35 % 

39 1! 

Unknown.. i 

Total , 1111 


Fifty-one  of  the  illegitimates  were  born  of  indigent,  pauper,  or 
criminal  mothers,  in  public,  charitable,  or  penal  institutions. 

Forty-three  of  these  fifty-one  births  occurred  at  the  Lying-in- 
Hospital,  in  the  city  of  Providence. 

The  proportion  of  illegitimates  to  the  whole  number  of  births 
was  about  one  in  every  97  cases,  or  about  ten  in  every  1,000. 


MARRIAGES,   1898. 


The  number  of  marriages  registered  in  Rhode  Island,  during" 
the  year  1898,  was  3,278.  This  number  is  49  less  than  in  1896, 
and  1-41  more  than  in  1897. 

The  general  statistics  of  marriage,  in  1898,  in  relation  to  season 
and  number,  in  the  different  divisions  of  the  State,  may  be  found 
in  Tal)le  IV,  on  the  ninth  page. 

The  statistics  in  relation  to  the  proportion  to  population  of  per- 
sons married  in  1898,  in  each  of  the  towns  and  general  divisions 
of  the  State,  may  be  found  in  Tables  XV  and  XVI,  on  pages  118 
and  121. 

The  following  Table  will  present  the  number  of  marriages,  and 
the  ratio  of  marriage  to  population,  in  each  year  for  a  period  of 
thirty -nine  years,  18G0  to  1898,  inclusive  : 


146 


FORTY-SIXTH   REGISTRATION   REPORT. 


[1898. 


Table  XXXI. 


YEARS. 


1860 
1861 
1862 
1863 
1864 
1865 
1866 
1867 
1868 
1869 
1870 
1871 
1872 
1873 
1874 
1875 
1876 
1877 
1878 
1879 
1880 


1,748 
1,533 
1,450 
1,618 
1,844 
1,896 
2,318 
2,344 
2,285 
2,289 
2,362 
2,336 
2,537 
2,630 
2,541 
2,485 
2,253 
2,282 
2,324 
2,396 
2,769 


<s>  a 

p.rH 

Org 


O  to  fc, 


Jp-I  o 


50.0 
56.8 
61.1 
54.7 
50.1 
48.7 
39.9 
39.8 
40.5 
47.5 
46.0 
46.5 
42.9 
41.3 
50.8 
52.0 
57.3 
56.6 
55.7 
57.8 
49.9 


a> 

%^ 

^  P 
oSPh 

oo  g 

mo  O 


20.0 
17.6 
15.1 
18.3 
19.9 
20.5 
25.1 
25.1 
24.8 
21.1 
21.7 
21.5 
23.2 
24.2 
19.6 
19.2 
17.5 
17.7 
17.9 
17.5 
20.0 


YEARS. 


1881 
1882 
1883 
1884 
1885 
1886 
1887 
1888 
1889 
1890 
1891 
1892 
1893 
1894 
1895 
1896 
1897 
1898 


2,750 
2,634 
2,611 
2,558 
2,488 
2,750 
2,839 
3,022 
3,029 
3,195 
3,320 
3,502 
3,544 
3,271 
3,497 
3,327 
3,137 
3,278 


Annual  average.. 


0"^ 


fto  >. 

O  ai  t- 

a.  t;  "^ 


50.3 
52.5 
54.4 
58.1 
61.3 
56.5 
55.8 
53.5 
57.8 
54.1 
53.5 
52.4 
53.6 
57.4 
55.0 
59.2 
64.3 
63.2 


53.7 


Season. 

The  following'  Table  will  show  the  number  and  percentag-e  of 
marriages  in  Bhode  Island,  in  each  month  and  each  quarter  of 
the  year  1898,  together  with  the  aggregate  number  and  percent- 
age in  each  quarter  for  forty-five  years,  viz.,  from  1854  to  1898, 
inclusive : 


1898.J 


MAKUIACiKS. 

Taijle  XXXII. 


147 


MONTHS. 


January-  ■ 
February 
Marcli.... 


April. 
May.. 
June.. 


July 

August 

September. 

October  . . . 
November  . 
December. . 


Total. 


•£2 
S5 


am 


2671 
I 

258}- 
I 

152J 

3211 
I 

201  1- 
I 

396  J 

1861 
I 

231  }• 
I 

332  J 

3431 
I 

384  1- 
I 

210  J 


Number  of  Mar- 
riages each  Quar- 
ter, 1898. 


1st  Quarter. ..    675 


2d  Quarter  ...    918 


3d  Quarter....    749 


4th  Quarter  . .    936 


3,278 


Oao 


20.59 


28.00 


22.85 


28.56 


100.00 


Number  of  Mar- 
riages per  Quarter, 
45  yrs.,  1854-1898. 


1st  Quarter.  .23,.536     21.48 


2d  Quarter... 28,284]    25.82 


3d  Quarter... 25,627     28. S 


4th  Quarter.. 32,118     29.31 


♦109.585    100.00 


The  largest  number  of  marriages  in  any  one  month,  during  1898, 
occurred  in  the  month  of  June.  For  thirty-eight  years  previous 
to  1892  the  greatest  number  of  marriages  was  in  the  month  of 
November.  Since  then,  with  the  exception  of  in  1895,  the  greatest 
number  of  marriages  has  been  in  the  month  of  June.  The  rule 
has  been  as  follows :  the  largest  proportion  in  the  last  quarter  • 
the  next  largest  in  the  second  quarter ;  followed  by  the  third 
quarter ;  and,  finally,  the  tirst  quarter  having  the  smallest  propor- 
tion of  any.  In  1893,  189-4,  and  1896,  the  largest  proportion  was 
in  the  second  quarter. 

During  1898  the  proportions  in  the  different  quarters,  from  the 
largest  to  the  smallest,  were  as  follows :  fourth  quarter,  29.31  per 
cent. ;  second  quarter,  25.82  per  cent. ;  third  quarter,  23.39  per 
cent. ;  tirst  quarter,  21.48  per  cent. 

Natb'ity  of  Persons  Married. 

The  following  Table  shows  the  nui/iher  of  marriages,  according 
to  the  nativities  of  the  parties,  for  each  of  the  last  four  years,  and 

*  Including  20,  date  not  given,  recorded  previous  to  1860. 


148 


FOKTY-SIXTH   EEGISTRATION    REPORT. 


[1898. 


also  for  the  aggregate  of  twenty-five  years,  from  1858  to  1882,  in- 
clusive ;  of  five  years,  from  1883  to  1887,  inclusive ;  of  five  years, 
from  1888  to  1892,  inclusive ;  and  of  five  years,  from  1893  to  1897, 
inclusive : 

Table  XXXIII. 


BIRTH-PLACE. 

1898. 

1897. 

1896, 

1895. 

5 

years, 

1893  to 

1897. 

Total. 

5 

years, 

1888  to 

1892. 

Total. 

5 

years, 

1883  to 

1887. 

Total. 

35 
years, 
1858  to 
1882, 
Total. 

United  States 

1,5S3 
991 
402 
363 

1,494 
942 
344 
357 

1,587 

1,021 

363 

356 

1,649 

1,088 

390 

370 

7,846 
5,318 
1,785 
1,827 

7,813 
4,973 
1,637 
1,645 

7,157 
3,601 
1,323 
1,165 

33,553 
13,753 

Native  groom,  foreign  bride 

Foreign  groom,  native  bride 

Not  stated 

3,488 

3,876 

64 

Total 

3,278 

3,137 

3,337 

3,497 

16,776 

16,068 

13,246 

54,734 

It  will  be  understood  that  in  the  above  enumerations  the  parent 
nativity  of  the  persons  married  is  not  considered,  but  the  country 
where  born. 

Parties  born  in  the  United  States,  although  children  of  foreign 
born  parents,  are  reckoned  as  natives. 

In  the  following  Table  are  given  the  percentages  by  birth,  of 
native,  foreign,  and  mixed  marriages,  in  each  of  the  last  four  years, 
and  in  the  aggregate  of  five  years,  1893  to  1897,  inclusive ;  of  five 
years,  1888  to  1892,  inclusive ;  of  five  years,  1883  to  1887,  inclu- 
sive ;  and  of  twenty-five  years,  1858  to  1882,  inclusive  : 

Table  XXXIV. 


BIRTH-PLACE. 


United  States 

Foreign  countries 
Mixed  nativity... 

Total 


1898. 

1897. 

1896. 

1895. 

5  years, 
1893-1897. 

5  years, 
1888-1892. 

5  years, 
1883-1887. 

46.43 
30.23 
23.34 

47.62 
80.03 
32.35 

47.70 
30.69 
31.61 

47.16 
31.11 
21.73 

46.81 
31.65 
21.54 

48.62 
30:95 
20.43 

54.02 
37.19 
18.79 

100.00 

100.00 

100.00 

100.00 

100.00 

100.00 

100.00 

25  years, 

1858-1883. 

61.30 
25.13 

13.57 

100.00 


It  will  be  of  some  interest  to  notice  that  by  the  exhibit  of  the 
two  preceding  Tables  it  is  shown  that,  although  the  marriages  of 


1898.] 


MAIlUIAOrS. 


149 


the  Uiitivo  boiii  (wliotlior  the  issue  of  foreiiirii  Itoiii  parents  or  u.-u 
tives)  have,  as  a  rule,  hicreased  in  numhers,  they  have  also  steadily 
decreaaeiJ  in  proportion,  ■with  two  or  three  exceptional  years,  that 
is,  to  the  whole  number  of  marriages ;  while  the  marriages  of  the 
class  of  the  exclusively  foreign  born  have  been,  for  the  past  thirty 
years,  gradually  increasing  in  proportion. 

Denominational: — The  3,278  marriages  in  1898  were  performed 
by  clergymen  of  various  denominations,  or  by  civil  authority,  as 
follows : 

Denominational. 


Boman  Catholio 1.315 

Baptist 507 

Protestant  Episcopal 378 

Congregational 284 

Methodist 271 

Free  Baptist. . , 91 

Lutheran 75 

Universalist 67 

Christian 47 

Presbyterian 32 

Justices  of  Supreme  Court 31 

Hebrew 30 

Advent 23 

Seventh  Daj-  Baptist IG 

United  Presbyterian IG 


Evangelical 12 

Advent  Christian 12 

Primitive  Methodist 10 

People's  Mission 10 

Disciples  of  Christ 8 

Unitarian 7 

Armenian 5 

Second  Advent 5 

Independent 4 

Friends'  Ceremony 3 

Latter  Day  Saints 3 

New  Jerusalem 2 

Warden  of  New  Shoreham 1 

Denomination  not  stated 10 

Total 3.278 


150 


FORTY-SIXTH   EEGISTRATIOif    REPORT. 


[1898. 


Ages  of  the  Married. 

In  the  following  Table  the  varying  ages  of  persons   married 
during  1898  are  presented  : 

Table  XXXY. 


• 

AGES  OF  BRIDES. 

CO 

g 

o 

o 

AGES  OP  GROOMS. 

CM 
O 

^ 

^ 

§■ 

}p. 

o 

i6 

o 

g 

Jg 

g 

!> 

o 

2 

o 

o 

O 

o 

O 

o 

o 

o 

o 

g 

t) 

§ 

S 

la 

o 

o 

iO 

o 

CD 

o 

!z; 

Under  20 

52 

307 
102 

22 
745 
495 

3 
124 
361 

1 
16 
69 

1 

12 

3 

•• 

78 

20  to  25  

1,193 

25  to  30  

1,042 

30  to  35  

22 

112 

146 

92 

27 

5 

1 

405 

35  to  40  

13 

46 

77 

51 

44 

7 

5 

243 

40  to  45  

4 

14 

25 

23 

30 

17 

6 

119 

45  to  50  

5 
3 

7 
7 

11 

4 

25 
5 

19 
11 

13 
11 

2 
10 

1 
1 

1 

83 

50  to  55  

1 

54 

55  to  60  

3 

3 

1 
1 
1 

5 
2 

3 
2 
1 

5 

1 
2 

8 
4 
1 
2 

2 

2 
1 

1 
1 

2 

1 

31 

60  to  65  

11 

65  to  70  

1 

10 

70  to  75 

6 

75  to  80 

1 

9, 

3 

151 

Number  of  Brides . . . 

501 

1,446753 

270 

68 

44 

28 

7 

9 

■• 

1 

3,278 

1898.] 


MARRIAGES. 


IT)! 


The  extreme  discrepancies  in  the  ages  of  some  conples  married 
in  1898  were  not  so  frequent  as  in  some  previous  years. 

The  same  results  in  1898,  in  rehition  to  numbers  in  the  diflerent 
ag-e  periods,  may  be  presented  in  a  diflerent  and  perhaps  clearer 
waj^  as  follows : 

Table  XXXVI. 


1898. 

o 

u 
<u 

a 

in 

o 

o 

o 

s 

o 

o 

iri 

3 

O 

o 
•a 

2 

lO 

o 

o 

§ 
o 

in 
in 

o 
g 

o 

in 
i- 

O 

o 

o 
o 

78 
501 

1,193 
1,446 

l,04i> 
753 

405 
270 

243 
151 

119 
68 

83 
44 

54 

28 

31 

11 
9 

10 

6 
1 

3 

579 

2,639 

1,795 

675 

394 

187 

127 

82 

38 

20 

10 

3 

The  whole  number  of  persons  in  each  divisions  of  ages,  of  both 
sexes,  married  in  Khode  Island  in  each  of  the  last  thirty-three 
years,  that  is,  from  18GG  to  1898,  inclusive,  is  presented  in  the  fol- 
lowing Table : 


153 


FOETY-SIXTH   EEGISTRATlON   REPOET. 


[1898. 


Table  XXXVII. 


YEARS. 


1867. 


1870. , 
1871.. 
1872, 
1873. , 
1874. 
1875. 
1876. 
1877. 
1878. 
1879. 
1880. 
1881. 
1882. 
1883. 
1884. 
1885. 
1886. 
1887. 


1889. , 
1890. . 
1891. 
1893. 
1893. 
1894. 
1895. 
1896. 
1897. 


693 
696 
644 
642 
744 
697 
786 
762 
770 
681 
691 
631 
618 
639 
688 
599 
498 
497 
484 
438 
505 
501 
582 
543 
596 


1,931 

1,886 

1,835 

1,814 

1, 

1,914 

2,073 

2,177 

1,992 

2,058 

1,741 

1,745 

1,832 

1,879 

2,301 

3,208 

2,125 

2,108 

2,027 

1,973 

2,133 

2. 

2,427 

2,463 

2,693 

3,141 

3,011 

2,777 

2,760 

3,763 

2,647 

2,490 

2,639 


1,025 
1,104 
1,050 
1,051 
1,084 
1,118 
1,182 
1,156 
1,179 
1,108 
1,041 
1,118 
1,123 
1,156 
1,262 
1,410 
1,377 
1,370 
1,289 
1,296 
1,552 
1,552 
1,608 
1,493 
1,632 
1,442 
1,729 
1,869 
1,613 
1,887 
1,841 
1,746 
1,795 


419 

416 

433 

468 

415 

393 

434 

50' 

459 

475 

450 

459 

441 

481 

556 

547 

563 

486 

569 

540 

603 

607 

640 

712 

673 

635 

732 

776 

680 

767 

713 

659 

675 


213 

211 

319 

22' 

216 

228 

237 

253 

268 

252 

224 

244 

259 

273 

339 

298 

301 

319 

307 

309 

283 

294 

330 

379 

320 

315 

389 

436 

375 

417 

352 

359 

394 


127 
148 
133 
134 
159 
115 
131 
140 
159 
150 
154 
125 
162 
133 
163 
187 
161 
183 
153 
163 
174 
162 
307 
182 
206 
158 
301 
337 
183 
327 
204 
184 
187 


73 
81 
87 
101 
101 
80 
93 
74 
78 
91 
107 
103 
115 
114 
103 
103 
114 
105 
121 
102 
115 
122 
133 
150 
142 
124 
125 
127 


59 


In  the  following  Table  will  be  found  the  number  and  proportion 
of  the  persons  married  under  20  years  of  age,  both  sexes,  in  eight 


1898. 


Marriages. 


153 


periods  of  five  years  each,  from  185G  to  18'.).'),  inclnsive;  for  the 
whole  period  of  forty  years,  iiiid  in  179G,  1897,  and  1898  : 

Table,  XXXVIII. 


5-YEAR  PERIODS, 

1i 

a 

Eh  o. 

o 

i  = 

a 

a 
« 

2 

1856-1860 

15,8.38 
16,682 
23,196 
25,058 
24,048 
26,082 
29,670 
31,268 

3,294 
2,406 
3.419 
3.696 
3,267 
2,516 
2,727 
3,249 

20  79 

18G1-1865 

14.42 

1866-1870 

14  74 

1871-1875 

14.75 

1876-1880 

13  59 

1881-1885 

9  65 

1886-1890 

9  19 

1891-1805 

9  48 

40  years.  1856-1895 

194,842 
6.654 
6,274 
6.556 

24,574 
617 
543 
579 

12  61 

1896 

9  27 

1 897 

8  64 

1898 

8  83 

Per  cent.,  first  fifteen  years 

Percent.,  second  fifteen  years. 
Per  cent.,  last  three  years 


.16.37 
.12.60 
.  8.92 


154 


fOKTlr-SlXTH   ilEGiSTEATIOiq"   REPORT. 


[1898. 


Proportion  of  Sex. 

Table  exhibiting  the  percentages  of  grooms  in  each  division  of 
ages,  in  each  of  the  last  thirty -nine  years  : 

Table  XXXIX. 


TEARS. 


861, 

862, 
863, 
864. 
865. 
866. 
867. 
868, 
869 
870, 
871 
872, 
873, 
874, 
875, 
876, 
877, 
878 
879 
880, 
881 
882, 
883, 
884 
885 
886 
887 
888 
889 
890 
891 
893 
893 
894 
895 


42.8 
44.5 
37.8 
38.0 
38.8 
37.0 
40.9 
40.1 
39.9 
39.6 
40.4 
40.1 
41.3 
42.4 
40.4 
40.9 
37.5 
36.0 
38.5 
37.8 
38.9 
37.2 
86.0 
36.2 
36.2 
34.7 
35.2 
37.1 
36.1 
37.6 
36.9 
44.7 
40.1 
35.3 
37.4 
36.0 
35.5 
35.5 
36.4 


36.9 
25.4 
27.9 
29.6 
37.3 
38.4 
S7.0 
27.9 
28.2 
27.7 
28.1 
28.9 
28.2 
26.7 
27.2 
37.8 
28.6 
30.3 
29.0 
28.8 
27.5 
29.7 
31.4 
31.7 
39.1 
30.2 
31.9 
31.6 
31.1 
37.8 
30.8 
26.4 
29.3 
30.7 
29.3 
30.6 
33.2 
32.6 
31.8 


16.3 
15.5 
18.3 
17.3 
17.9 
18.9 
16.4 
16.8 
17.1 
18.5 
16.0 
16.5 
16.6 
17.0 
17.5 
17.6 
17.9 
18.7 
18.0 
19.3 
19.9 
19.5 
30.0 
17.7 
21.1 
30.9 
19.6 
19.6 
19.8 
31.3 
18.9 
17.3 
19.0 
31.0 
19.9 
21.0 
19.6 
19.3 
19.8 


5.7 

5.8 

5.9 

5.8 

7.4 

7.5 

6.3 

6.8 

6.1 

6.1 

6.4 

4.9 

5.2 

6.0 

6.4 

6.1 

5.6 

5.9 

6.3 

5.4 

5.8 

6.8 

6.1 

7.2 

6.2 

6.8, 

6.8 

6.2 

6.5 

6.6 

6.1 

5.3 

6.1 

6.3 

6.8 

6.3 

6.1 

6.3 

6.1 


3.3 

4.2 
5.9 
5.9 
4.3 
4.7 
4.1 
4.1 
4.6 
3.8 
4.3 
4.3 
4.4 
4.1 
4.4 
4.2 
4.3 
6.9 
4.3 
4.8 
4.8 
4.0 
4.3 
4.3 
5.0 
4.8 
4.0 
3.8 
3.7 
4.4 
4.0 
3.3 
3.2 
3.8 
3.6 
3.9 
3.5 
4.0 
3.5 


1898.] 


MA  Kill  AGES. 


155 


Table  exhibitin-j;-  tlio  percentag-es  of  brides  in  eacli  division  of 
ages,  in  each  of  the  last  tliirty-iiino  years : 

Table  XL. 


YEARS. 


ri860. 
1801. 
18G2 
1863. 
1864. 
1865. 
1866. 
1867. 
1868. 
1869. 
1870. 
1871. 
1872. 
1873. 
1874. 
1875. 
1870. 
1877. 
1878. 
1879. 
1880. 
1881. 
1882. 
1883., 
1884., 
1885., 
1886., 
1887., 
1888., 
1889., 
1890., 
1891.. 
1892. . 


1894. 
1895. 
1896. 
1897. 
11898. 


25.8 
29. 6 
24.9 
24.9 
24.2 
22.6 
24.7 
25.4 
24.4 
24.1 
26.8 
24.6 
26.7 
25.3 
26.3 
23.9 
25.6 
23.4 
22.7 
22.8 
•21.1 
19.0 
10.7 
1G.2 
16.4 
14.9 
15.8 
15.9 
16.4 
15.1 
15.4 
17.4 
16.8 
16.2 
15.7 
15.3 
16.4 
14.9 
15.3 


44.1 
42.0 
41.3 
42.6 
43.4 
43.3 
43.9 
40.5 
40.9 
40.5 
39.4 
41.9 
40.5 
40.8 
.38.1 
42.1 
39.8 
40.4 
40.4 
40.7 
44.2 
43.0 
44.8 
44.2 
43.0 
44.6 
42.4 
44.1 
44.3 
43.7 
47.3 
49.9 
45.9 
43.0 
47.0 
43.0 
44.1 
43.9 
44.1 


3 

17.0 
15.2 
16.7 
16.9 
17.8 
19.1 
17.4 
19.3 
18.1 
18.7 
17.9 
19.1 
18.4 
17.5 
19.3 
16.8 
17.6 
18.8 
19.3 
19.4 
18.0 
21.5 
20.9 
20.6 
21.3 
21.8 
24.5 
22.8 
82.1 
21.5 
20.4 
17.0 
20.1 
22.0 
20.0 
23.4 
22.1 
23.1 
22.9 


9.1 

7.8 
11.8 

9.8 
10.3 
11.0 
11.0 
10. 0 
11.6 
12.1 
10.8 
10.1 

9.9 
12.0 
11.1 
11.8 
12.0 
12.1 
12.2 
13.1 
12.0 
11.3 
12.6 
13.3 
13.3 
13.2 
12.5 
13.1 
12.4. 
14.7 
12.0 
11.4 
13.0 
13.3 
12.3 
12.8 
13.4 
18.2 
12.9 


u 

0) 

o 

"O 

o 

c 

■*-• 

S3 

o 

o 

in 

2.6 

4.1 
4.1 
4.1 
2.9 
3.5 
2.7 
3.4 
3.3 
3.4 
3.9 
3.1 
o  o 

2.7 
3.9 
4.0 
3.7 
3.6 
3.8 
3.0 
3.3 
3.8 
3.9 
4.3 
4.2 
3.8 
3.3 
3.5 
3.7 
3.4 
3.6 
3.1 
3.1 
4.1 
3.4 
4.3 
3.8 
3.5 
3.4 


1.4 
1.3 
1.2 
1.7 
1.4 
1.5 
1.3 
1.4 
1.7 
1.3 
1.3 
1.3 
1.3 
1.7 
1.3 
1.4 
1.3 
1.7 
1.6 
2.0 
1.4 
1.5 
1.1 
1.5 
1.9 
1.7 
1.5 
1.6 
1.1 
1.6 
1.3 
1.2 
1.1 
1.4 
1.6 
1.3 
1.2 
1.4 
1.4 


100.0 
100.0 
100.0 
100.0 
100.0 
100.0 
100.0 
100.0 
100.0 
100.0 
100.0 
100.0 
100.0 
100.0 
100.0 
100.0 
100.0 
100.0 
100.0 
100.0 
100.0 
100.0 
100.0 
100.0 
100.0 
100  0 
100.0 
lOO.O 
100.0 
100.0 
100.0 
100.0 
100.0 
100.0 
100.0 
100.0 
100.0 
100.0 
100.0 


156 


FORTY-SIXTH    EEGISTEATIOIST   EEPORT. 


[1898. 


It  will  be  noticed  in  the  preceding  tables  that  the  proportions 
of  persons  married  of  both  sexes,  under  20  years  of  age,  largely 
decreased  during  the  last  decade. 

Of  grooms,  the  proportion,  compared  with  the  first  decade,  has 
decreased  nearly  40  per  cent.,  and  of  females  about  37  per  cent. 

The  proportion  of  males  married,  between  the  ages  of  tAventy 
and  twenty-five,  has  decreased  over  6  per  cent.,  and  has  corre- 
spondingly increased  in  the  more  advanced  age  periods. 

The  proportion  of  females  married,  between  twenty  and  twenty- 
five  years  of  age,  has  not  varied  much,  while  of  those  between 
twenty-five  and  forty  there  has  been  an  increase  of  proportion 
similar  to  that  of  males. 


Number  of  Times  Married. 

There  will  be  found  in  the  following  Table  the  number  of  grooms 
and  of  brides  who  were  married  for  the  first,  second,  third,  etc., 
time  in  1898 : 


Table  XLI. 

/'      • 

First 
Marriage. 

Second 
Marriage. 

Third 
Marriage. 

Fourth 
Marriage. 

Total. 

2,790 
3,896 

421 
365 

6T      . 
16 

1 

3,278 

Brides 

3,278 

The  proportion  of  grooms  married  for  the  first  time,  in  1898,  was 
85.1  per  cent,  of  the  whole  number,  and  the  proportion  of  hrides 
married  for  the  first  time  was  88.3  per  cent. 

The  following  Table  will  show  not  only  the  number  of  times 
each  of  the  parties  was  married,  but  also  the  number  of  bachelors 
and  widowers  who  married  spinsters,  the  number  who  married 
widows  of  first  or  second  widowhood,  etc.,  and  of  spinsters  and 
widows  who  married  bachelors,  and  widows  of  the  second,  third, 
or  fourth  marriage,  etc. : 


1898.] 


MAKKIAOKS. 


157 


TAJiLE  XLII. 


BRIDES. 

■1 

E 
o 

GROOMS. 

§ 
g 

CO 

1 

O 

o 

1 

First  marriage 

2,605 

256 

35 

182 

ICVS 

a 

1 

2.790 

1        43( 

Second  marriage 

154     i      10 
29            3 

Third  marriage 

67 

Total  brides 

2.896 

365    I      i*^ 

1 

3.278 

It  will  be  seen,  by  Table  XLII,  that  185  bachelors  married 
Avidows,  3  of  Avhom  married  brides  that  had  been  twice  widowed. 
Of  the  488  widowers  who  married  in  1898,  291  married  spinsters, 
and  197  married  widows.  Of  the  widows  who  married  widowers, 
13  had  been  twice  married  previously,  and  1  three  times. 


Marriages  of  Persons  of  Color. 

The  number  of  marriages  of  persons  of  color  in  Rhode  Island, 
in  1898,  was  85.  This  includes  seven  man'iages  in  which  one  of 
the  parties  was  white.  The  number  and  color  of  the  individuals 
was,  therefore,  163  persons  of  color  and  7  persons  white.  The 
white  persons  were  females.  The  marriages,  however,  may  be 
properly  included  in  the  above  class,  inasmuch  as  the  offspring  of 
such  marriages  are  persons  of  color. 

The  number  reported  during  1898,  from  the  different  towns,  was 
as  folloAvs,  viz. : 


Warren 2 

Newport 13 

Portsmouth 1 

Central  Falls 2 

Providence  City 62 

Exeter 2 

South  Kingstown 2 

Westerly 1 

Total 85 

30 


FORTY-SIXTH    EEGISTK A.TIOX    REPOET. 


[189S. 


MaREIALtES   of   THE   Dr^OECED. 

The  follo^viiLir  Table  will  gixe  tlie  towns  fi'om  wliieli  returns  of 
marriage  with  the  facts  of  diroree  were  reported  during- 1898,  the 
whole  number  of  marriages  of  divorced  persons,  whether  of  one 
or  both  piuties  :  also  whether  the  second  or  third  marriage  of  the 
divorced  groom  or  bride  : 

Table  XUH. 


X 

•3 

^ 

S— ; 

- 

— 

- 

— 

~  S 

* 

* 

3 

^r 

U 

3: 

S£ 

5: 

TOWNS. 

S 

11 

■f  =■ 

^^ 

--3 

c 

:.  C 

i 

X 

S  t. 

Si 

■^£ 

S^ 

§ 

P^ 

o 

1    !H 

■= 

3 

•z 

^ 

a 

a 

m 

^ 

m 

f 

96 

i 

I 
2 

108 
2 

4 
1 
3 

5S 

3 

1 
2 

56 

2 

I 

1 

4T 

5 

54 

: 

^ 

Bristol 

3 

1 

a 

Warren .i 

Coven  try 

1 

Warwick 

10 
6 

1 
3 

11 

S 

5 
3 

6 
3 

1 
1 

5 
3 

5 
3 
1 
1 

1 

N^EwpoBT  Crrr 

Tivarton 

BarrillTine. 

1 

3 

1 


(">rNTK»T,  Fi^rs.    . 

Prsiiistnn 

: 

4 

3 

1 

8 

1 

Cumberland 

3 

East  ProTidenct? ... 

5 

1 

„ 

5 

3 

5 

3 

1 
8 

3 
1 

5 

: 

3 

1 

5 
1 
4 

2 
2 

o 

•Johnston 

Pa  \»  V I  rKT.T 

... 

1 

Softn3»r«»  .... 

Smithfield. 

WOOXSOCKET .    . 

3 

1 



Eseier 

Hopkiaton 

-1 

o 

o 

1 

1 

2 

"Vorch  Kic^5ro^v~n 

I 

1 

1 

1 

1 

1 

1 

Westerly 

1      

Total    

174 

IN'* 

r<i 

P.V, 

-J 

- 

95 

3 

1S9M.J 


NrArtRIAGES. 


IT)  9 


There  were  174  marrias-es,  in  189S,  in  which  one  <5r  both  of  the 
parties  had  been  divorced. 

The  proportion  of  the  luunher  of  niarnage.'s  of  which  one  or  both 
of  the  parties  had  been  divorced,  to  the  whole  number  of  mar- 
riag-es,  was  about  one  in  every  10,  or  5.3  per  cent. 

But  the  proportion  of  divorced  jjer.'^on.s  married  during  1898,  to 
the  whole  number  of  persons  married  in  the  same  year,  was  about 
one  in  every  35,  or  2.9  per  cent.,  or  29  in  every  1,000. 

The  number  of  divorced  persons  married,  in  1808,  was  one  less 
than  in  the  previous  year. 

These  1T4  marriages  of  divorced  persons  were  performed  by 
clergymen  of  the  different  denominations,  or  by  civil  authority,  as 
follows : 


Baptist 68 

Methodist 29 

Congregational 20 

Univei-salist 13 

Free  Baptist 10 

Justices  of  Supreme  Ci.>urt 8 

Christian 7 

Protestant  Episcopal 3 

Presbyterian :i 


Roman  Cathollf' :j 

Hebrew 2 

Advent..  : 

Unitarian .  i 

Lutheran 1 

Disciples  of  Christ  .  : 

Independent i 

Second  Adveut  1 

Unknown j 


Marriage  and  Education. — Of  the  number  of  persons  married, 
in  1898,  406  signed  their  marriage  certificates  with  a  mark.  The 
following  will  show  the  number  of  males  and  females  who  did  so, 
and  their  nativity : 


Whole  Xo. 

Males .191 

Females 21o 


Native. 
..     41... 

..    -tr... 


Foreiarn. 
....  150 
....  ltS8 


Total 401). 


8S. 


S18 


BlYOliCES,  1898. 


According-  to  the  returns  made  to  the  Secretary  of  the  State 
Board  of  Health  (State  Registrar)  by  the  clerks  of  the  Supreme 
Courts  of  the  different  counties  of  Rhode  Island,  the  number  of 
applications  for  divorce,  during  1898,  was  six  hundred  and  fifteen 
(615). 

The  number  of  divorces  granted,  during"  1898,  was  four  hundred 
(400). 

There  were  71  more  applications,  during*  1898,  than  during  the 
preceding  year,  and  the  number  of  divorces  granted  was  28  more. 


Divorces  are  decreed  for  the  following  seven  statute  causes,  viz.: 

1.  Adultery. 

2.  Extreme  cruelty. 

3.  Wilful  desertion  for  five  years  of  either  of  the  parties,  or  for 
a  shorter  period,  in  the  discretion  of  the  court. 

4.  Continued  drunkenness. 


5.     Neglect  or  refusal   to  provide  necessaries  (having  ability) 
for  the  subsistence  of  a  wife. 


6,  Gross  misbehavior  and  wickedness  other  than  aforesaid. 

7.  Impotency. 

Divorces  are  also  decreed,  or  marriages  set  aside,  in  the  discre- 
tion of  the  court,  for  ascertained  affinity,  consanguinity,  idiocy^ 
insanity,  penitentiary  crimes,  and  bigamous  or  otherwise  illegal 
marriage. 


1 8!»8.  ] 


DIVORCES. 


k;i 


The  following-  Table  shows  the  number  of  applications  for  di- 
vorce, and  the  nninl)er  q-ranted,  in  1808,  in  each  county  of  the 
State ;  also  the  causes  alleged  for  the  applications  : 

Table  XLIV. 


o 

Causes  Alleged. 

■c 

^ 

, 

0* 

si 

a 

m 

' 

•a  f' 

be 

COUNTIES. 

"a, 
< 

a 

s! 

0 

c  « 

tX) 

Ol 

o 

O 

a) 

O 
3 

a 

5 

o 

o 

e 

a 

pj 

k. 

SfO) 

4> 

•a 

?- 

a 

a 

7 

I  •« 

X 

9 
21 

8 

o 

(UJ', 

o 

e 

•t  Ol 

p 

14 
31 

7 
22 

11 

< 

4 
5 

2 

10 
6 

o 

2 
5 
3 

10 
21 
13 

o 

3 
4 
5 

t> 

HJta 

^ 

Bristol                      

30 

66 

42 

526 

95 

333 

1<» 

86 
9 

220 

179 

18 

132 

7 

333 

17 

80 
9 

3 

1,033 

62 

615 

400 

104 

247 

235 

149 

394 

101 

3 

— 



1,233 

There  were,  during  the  year  1898,  six  hundred  and  fifteen  (615) 
applications  for  divorce,  and  the  whole  number  of  causes  alleged 
was  twelve  hundred  and  thirty-three  (1,233).  There  was,  there- 
fore, an  average  of  rather  more  than  two  causes  alleged  in  each 
application. 

The  causes  alleged  why  divorces  should  be  granted  in  the  ap- 
plications, during  1898,  were  187  more  in  number  than  in  1897. 

In  order  to  show  the  actual  number  of  applications,  and  the 
number  of  divorces  granted  in  each  of  the  last  twenty-six  years, 
the  following  summary  is  presented  : 


163  FORTY-SIXTH   EEGISTRATION   REPORT.  [1898. 

Applications 

Applications  Divorces          refused  or  continued 

for  divorce.           granted.            or  withdrawn. 

18T3 261 173 88 

1874 276 242 34 

1875 227 1.58 69 

1876 .'....   254 196 58 

1877 257 178 79 

187S 258. 196 62 

1879 255 246  ..  9 

1880 347 273  74 

1881 350 268 83 

1883 339 271 68 

1883 321 257 64 

1884 320 261) 54 

1885 293 227 66 

1886  336 257 79 

1887 322 248 74 

188S  304 224 80 

1889 366 ' 274  92 

1890 337 244 83 

1891 362 275  87 

1893 412 396 116 

1893 529 301  228 

1894 506 280 226 

1895 516 373 143 

1896 526 363 163 

1897 544 373  172 

1898 615 400 215 

36  years,  total 9,433 6,858 2,565 

The  average  annual  proportion  of  decrees  of  divorce  granted 
during  the  last  twenty-six  years,  to  the  applications  therefor,  was 
72.8  per  cent. 

During  the  last  ten  years  the  proportions  were  as  follows : 

1896,        1897,        1898. 
.69.0 68.4 65.0 

The  proportion  of  divorces  granted,  in  1898,  to  the  whole  number 
of  marriages  during  the  same  year,  was  one  divorce  to  every  eight 
and  two-tenths  marriages. 

The  proportion  of  applications  for  divorce  to  whole  number  of 
marriages,  during  the  year,  was  one  application  to  every  five  and 
three-tenths  marriages. 


Years 

....1889, 

1890, 

1891, 

1892, 

1893, 

1894, 

1895, 

Per  cent 

....74.8... 

...74.6.. 

...76.0... 

...71.8... 

,..56.9... 

,..55.3... 

...72.3. 

1808, 1 


nivoiiCKs, 


1C:J 


Tlie  followinj^'-  Tiible  shows  tho  number  of  divorces  granted  in 
each  connty,  and  tlio  whole  State,  in  each  of  the  last  thirty  years, 
and  the  proportion  of  niarriag^es  to  each  divorce  <^ranted  in  each 
year : 

Table  XLV. 


YKAKS. 


18G9. 

isro. 

1871. 
1872. 
1873. 
1874. 
1875. 
1876. 
1877. 
1878. 
1879. 
1880. 
1881. 
1882. 
1883. 
1884. 
1885. 
1866. 
1887. 
1888. 
1889. 
1890. 
1891. 
1892. 
1693. 
1894. 
1895. 
1696. 
1897. 
1898. 


Bristol 
Couuty. 


Kent 
County. 


15 
18 
11 
13 
22 
20 
18 
15 

9 
11 
19 
23 
26 
18 
15 
20 

9 
17 
23 
14 
27 
19 
20 
19 
10 
22 
17 
21 
20 
22 


•25 


12.5 
11.8 
17.9 
15.7 
9.8 
8.0 
8.6 
12.8 
16.3 
13.3 
9.0 
9.4 
7.3 
10.3 
11.5 
8.0 
18.0 
11.0 
8.0 
13.5 
8.8 
12.1 
11.2 
12.4 
23.8 
9.0 
9.9 
7.5 
8.5 
9.3 


Newport 
County. 


11 
10 
15 

9 
12 
17 
15 
13 

4 
14 

1 

17 
20 
21 
18 
11 
18 
16 
19 


•2h 


27.7 
20.3 
49.7 
22.9 
21.9 
29.0 
23.4 
20.5 
26.0 
12.8 
24.1 
17.6 
16.9 
13.0 
21.2 
15.7 
11.2 
12.3 
13.4 
46.0 
14.0 
2.32.0 
12.6 
11.6 

9.9 
12.3 
21.3 
11.3 
12.9 

9.9 


Providence 
County. 


120 
152 
123 
149 
131 
190 
120 
148 
134 
156 
195 
208 
207 
221 
214 
209 
186 
194 
187 
188 
211 
196 
214 


WashlnRton 
County. 


13.8 
11.3 
13.3 
12.6 
14.8 
10.0 
14.9 
11.1 
12.4 
10.9 
9.1 
9.7 
10.0 
8.9 
9.2 
9.3 
10.1 
10.9 
11.8 
12.5 
11.2 
12.3 
11.2 


2.36  I  11.6 


235 

11.5 

207 

12.4 

318 

8.8 

.S04 

8.8 

300 

8.1 

3S3 

7.8 

21 

18 

22 

6 

10 
11 
20 
21 
12 
20 
23 
19 
11 
13 
21 
12 
26 
24 
13 
16 
24 
14 
19 
22 
26 
10 
13 
SI 
19 


a>  O 
tit. 


15.5 

9.3 

11.4 

8.9 

33.7 

11.6 

20.5 

8.8 

9.9 

17.3 

9.7 

17.0 

11.0 

16.2 

13.3 

8.2 

15.0 

7.3 

7.9 

16.5 

10.8 

8.8 

14.3 

10.4 

8.0 

6.8 

11.8 

10.1 

9.7 

9.8 


Whole 
State. 


B 
O 

B 

o 

a  6 

o 

?, 

0)0 

tt,> 

r. 

•=« 

o 

> 

OJ 

O 

s 

162 
200 


242 
158 
190 
178 
196 
246 
273 
268 
271 
257 
266 
227 
237 
248 
224 
274 
244 
275 
296 
301 
280 
373 
863 
372 
400 


14.1 
11.8 


161  I  14.5 
200  I  12.7 
173   15.2 


10.5 
15.7 
11.5 
12.8 
11.9 
9.7 
10.1 
10.4 
9.7 
10.2 
9.6 
11.0 
10.7 
11.4 
13.5 
11.1 
13.0 
12.1 
11.8 
11.8 
11.7 
9.4 
9.2 
8.4 
8.2 


164  FORTY-SIXTH    REGISTEATION    REPORT.  [1898. 

The  ratio  of  divorces  granted  in  the  entire  State,  during  1898, 
to  the  whole  number  of  marriag-es  during  the  same  year,  was  one 
divorce  to  about  every  eight  and  two-tenths  marriages,  as  pre- 
viously stated. 

During  the  ten  years  1869  to  1878,  inclusive,  the  ratio  of  divorce 
to  number  of  marriages  was  one  divorce  to  every  thirteen ;  during 
the  ten  years  1879  to  1888,  inclusive,  the  ratio  was  one  divorce  to 
every  ten  and  six-tenths  marriages. 

The  average  of  the  last  ten  years  was  one  divorce  to  about  every 
ten  and  four-tenths  marriages. 

During  the  thirty  years  1869-1898  the  average  proportions  of 
divorce  to  marriage,  in  the  several  counties  and  the  State,  have 
been  as  follows : 

Bristol  County One  divorce  to  every  20.8  marriages. 

Kent  County One  divorce  to  every  11.7  marriages. 

Newport  County One  divorce  to  every  S9.9  marriages. 

Providence  County One  divorce  to  every  10.9  marriages. 

Washington  County One  divorce  to  every  IS.l  marriages. 

Whole  State One  divorce  to  every  11.4  marriages. 


1808.] 


DIVORCKS, 


1G5 


?^     ~ 


X 

(J 


\    ^ 


OJ  T-H 


C^  i-H 


rH  C< 


> 


DEATHS,  1898. 


The  number  of  deaths  registered  in  Rhode  Island,  during  1898, 
according  to  the  returns  made  to  the  State  Registrar,  was  six 
thousand,  nine  hundred  and  five  (6,905). 

This  number  is  smaller  by  599  than  that  of  the  year  1896,  and 
is  205  less  than  that  of  1897. 

The  death  rate  (16.7  in  every  1,000  living  persons)  was  nine- 
tenths  less  than  that  of  the  previous  year. 

The  following  summary  will  show  the  death  rates  per  1,000  for 
each  of  the  last  five  census  years,  in  comparison  with  the  last  five 
years : 

1875.     1880.     1885.     1890.     1895.     1894.     1895.     1896.     1897.    1898. 
16.7 17.5 17.7 20.7 19.6 19.1 19.6 19.1 17.6 16.7 

Since  1876  the  returns  have  been  more  complete  than  previously, 
and  during  the  last  ten  years  few  deaths  have  occurred  in  the 
State  which  were  not  reported. 

On  the  following  page  will  be  found  the  death  rates,  by  coun- 
ties, for  thirty-eight  years  ; 


1808.] 


DEATHS. 


10' 


Table  XLVII. 

Denlh  rates  per  1,000  lirinf/,  hy  counties,  for  thirty -eir/ht  years,  from  ISGl  to  1S9S. 

inclusire  ;  also  the  averurje  rate  of  each  period  of  fux  years  each,  from 

1861  to  1895,  inclusive,  for  the  whole  State. 


YEARS. 

o 
n 

a 

1 

o 
o. 

OJ 

'A 

§ 
1 

1 
it) 

a 

1 

STATE. 

ANNUAL   AVERAGE   OF 
FIVE-TEAB  PERIODS, 

1861-1895. 

Five  years,  1861-1865 

17.7 
19.2 
17.0 
15.7 
17.9 
15.5 
16.3 
21.1 
18.4 
14.7 
14.9 
14.7 
18.2 
17.5 
13.2 
19.2 

17.9 
16.5 
17.7 
17.7 
16.3 
19.2 
18.2 
21.3 
17.6 
22.1 

20.5 
20.0 
19.9 
16.5 
20.9 
17.9 
18.6 
15.0 

15.9 
14.2 
15.1 
13.7 
16.7 
13.5 
17.5 
16.1 
13.8 
13.2 
14.9 
11.7 
13.1 
14.2 
15.1 
14.9 
16.5 
15.3 
14.6 
17.1 
16.4 

]7.r, 

15.5 
18.4 
20.1 
17.6  i 
18.0  i 
20.7 
19.4 
19.8  ; 
17.4  i 
18.8  i 
16.7 
15.6 

18.9 

17.3 

15.0 

14.7 

13.2 

14.1 

12.2 

14.5 

19.0 

10.8 

13.5 

13.5 

12.4 

13.7 

14.8 

14.5 

15.7 

17.2 

17.7 

14.5 

14.5 

15.0 

15.1 

18.0 

14.7 

16.5 

20.6 

20.1 

17.9 

16.9 

15.9 

17.0 

10.2 

15.5 

17.7 
16. G 
16.4 
17.0 
16.0 
15.5 
15.9 
21.2 
22.0 
17.7 
17.5 
16.8 
18.7 
18.3 
17.2 
18.5 
19.3 
19.7 
20.8 
17.8 
18.5 
19.2 
21.1 
21.0 
19.2 
22.1 

18.6 

20.2 

19.9 

19.1 

fO.l 

19.2 

17.6  ! 

16.7 

12.4 

11.4 
10.9 
10.0 
12.8 
12.0 
12.3 
14.7 
15.1 
13.7 
15.5 
15.9 
12.8 
13.0 
11.1 
12.7 
11.9 
11.0 
9.8 
12.6 
14.0 
15.0 
15..-. 
16  0 
14.6 
13.5 
12.6 
15.2 
12.6 
16.4 
15.0 
15.3  1 
14.7 
14.5 

17.1 

16. n 

15.6 

15.7  ^ 

1 
15.6 

14.9J 

15.41 

19.1 

20.2  1- 

16.3 

16.7J 

15.91 

,r.! 

17.2)- 

16.2 

17.5J 

18. M 

18.4 

19.1  ;• 

16.9 

17.7  1 

18.81 

10.9 

20.4  \ 

19.0  j 

20.7J 

19.61 

20.1 

19.6  y 

-'■'! 

19.6J 
19.1 
17.6 
16.7 

...17.1  per  1,000  living. 

1806 

1867 

1868 

...15.6  per  1,000  living. 

1869 

1870 

1871 

1872 

1873 

...17.5  per  1,000  living. 

1874 

1-75 

1876 

1877 

1878 

...16.8  per  1,000  living. 

1879 

1880 

1881 

1882 

1883 

...18.0  per  1,000  living. 

1884 

1885 

1886 

1887 

1888 

1889 • 

...19.8  per  1,000  living. 

1890 

1891 

1892 

1893 

...19.6  per  l.COO  living. 

1894 

1895 

1896 

1897 

1898 

Annual  average,  thirty-five  yeai 

•s,  1861-1895 

...17.8  per  1,000  living. 

168  FORTY-SIXTH   REGISTRATION    REPORT.  [1898. 


Sex  of  Decedents. 

Of  tlie  6,905  persons  whose  deaths  were  returned,  during  the 
year  1898,  3,554  were  males,  and  3,351  were  females ;  the  ratio 
standing"  at  106.1  males  to  each  100  females,  or  about  515  males 
and  485  females  in  every  1,000  decedents. 

The  following  Table  will  show  the  number  and  proportion  of 
males  and  females  among  the  decedents  in  Rhode  Island,  during 
the  ten  years  1853  to  1862,  inclusive ;  also  in  each  of  the  thirty- 
six  years  from  1863  to  1898,  inclusive,  and  for  the  entire  period  of 
forty-six  years : 

Table  XL VIII.— DEATHS. 


Males  to 

Males.  Females.  every  100  females. 

lOyessrs,  18.53-1862 10,930 11,269 96.9 

1863 1 ,621 1,586 102.2 

1864 1,633 1,727 92.4 

1863   1,686 1,719 98.1 

1866 1,497 1,473 101.5 

1867 1,448 1,447 99.7 

1868 1,413 1,499 94.3 

1869 1,696 1,686 100.6 

1870 1,588 1,650 96.2 

1871 1,621 1,723 94.1 

1872 2,118 2,129 99.4 

1878 2,166 2,237 95.5 

1874 2,111   2,118 99.7 

1875 2,108 2,209 95.4 

1876 1,969 2.147 91.7 

1877 2,132 2,318 92.0 

1878 2,161 2,280 94.8 

1879 2,183 2,289 95.4 

1880... 2,366 2,463 96.0 

1881 2,467 2,549 96.8 

1882 2,487 2.587 96.5 

1883 2,027 2,655 99.0 

1884 2,486 2.655 93.6 

1885 2,(i07 2,782  98.7 

IKKli   2,8^3  3,016 93.9 

1887 3,177 3.163 100.4 

18(<S 3,199 3,395 95.4 

1889 3,093 3,166 97.7 

1890  3,501 3,433. 102.0 

1891 3,341 3,279 101.9         ^ 

1892 3,725 3,671 101.5 

1893 3,789 3,651 103.8 

1894 3,559 3.601 98.8 

1895 3,799 3,736 101 .6 

1896 3,874 3,630 106.7 

1897 3,587 3,523 106.7 

1898 3,554 3,351 106.1 


46  years 102,146 103,812. 


1898.1  DEAtns.  16^ 

The  followiug-  table  of  hirt/ia,  during  the  same  period  of  time  as 
the  iireeedino:,  Avill  show  by  comparison  tlie  difTerent  jiroiKJitions 
of  the  sexes  in  the  two  ckxsses  of  events : 


Table  XLIX.— BIRTHS. 


Males  to 

Males.                                      Females.  every  100  female?. 

10  years,  1S53-18C2 18.377 17.200 106.4 

18C3 1,892 1,788 105.8 

1864 I.n49 1.042 100.3 

1865 2,096 1,857 112.9 

1866 2.546 2.256 108.0 

1867 2,655 2,464 107.0 

1868 2,745 2,627 104.5 

1869 2,685 2.560 104.9 

1 870 2,679 2.536 104 .9 

1871 2.878 2,800 105.8 

1872 3,085 3,058 100.9 

1873 3.135 2,887 108.0 

1874 3.311 3.1.55 104.9 

1875 3.362 3.146 106.9 

1876 3.291 3.038 108.3 

1877 3,1G3 3.072 103.0 

1878 3.402 3.312 102.7 

1879 3.2.59 3.091 105.4 

1880 3,241 3,054 106.1 

1S81 3,498 3,263 107.2 

18S2  3,.509 3,316 105.8 

1S83 3.548 3,498 101.4 

1884 3,713 3..592 103.4 

1885 3.591 3.437 104.4 

ISKO 3.897 3,724 104.6 

1887 .3,968 3,700 107.4 

ISSS 4,02;3 3.817 105.4 

1889 4.193 4,027 104.1 

1890 4,351 4,199  103.2 

1891 4,920 4,.-)00 109.5 

1892 4.765 4.505 109.3 

1893 5.105 4,943 103.3 

1894 5,129 4.856 105.6 

1895 5,136 4.746 108.2 

1896 5,461 5.289 103.3 

1897 5,493 5,30J ia3.5 

1898 5,443 5,287 102.9 

46  years 149,500 142,004 105.3 


170 


FORTY-SI^TH   REGISTRATION   REPORT. 


[1898. 


Season  and  Mortality. 

The  whole  number  of  decedents,  and  the  sex  of  the  same,  in 
each  month  of  the  year  1898,  and  in  each  division  of  the  State, 
may  be  found  in  Table  V,  on  the  tenth  and  eleventh  pages. 

The  influence  of  season  upon  mortality  may  be  further  illus- 
trated by  the  following-  Table,  which  shows  the  number  and  per- 
centage of  deaths,  compared  with  the  whole  number  of  deaths,  in 
each  quarter  of  each  of  the  last  five  years,  and  in  the  aggregate 
for  forty-five  years,  1853  to  1897,  inclusive : 

Table  L. 


1898. 

1897. 

1896. 

1895. 

1894. 

45  years, 
1853-1897. 

SEASON. 

S 

a 

5?5 

o 
o 

s 

Oh 

a 

c 
o 

CD 
CM 

S 

a 
<v 
o 

S 
xi 

s 

o 
S 

Ph 

0) 

a 

a 

<D 

S 

Ph 

u 

6 
3 

(V 

o 
0 

Ph 

January-March  . 

April-June 

July-September . 
Oct.-December.. 

1,6S7 
1,643 
1,998 
1,63T 

23.56 
S3. 79 

28.94 
23.71 

1,937 
1,540 
2,024 
1,609 

27.24 
21.66 
28.47 
22.63 

1,833 
1,856 
2,212 
1,603 

24.43 
24.73 
29.48 
21.36 

1,962 
1,673 
2,091 
1,809 

26.04 
22.20 
27.75 
24.01 

1,919 
1,696 
2,056 
1,489 

26.80 
23.69 
28.71 
20.80 

47,004 
42,029 
55,526 
48,235 

24.38 
21.80 
28.80 
25.02 

Total 

6,905 

100.00 

7,110 

100.00 

7.504 

100.00 

7,.535 

100.00 

7,160 

100.00 

192,794 

100.00 

Comparing  the  percentages  of  1898  with  those  of  the  forty-five 
years,  we  find  that  of  the  first  quarter  is  .82  per  cent,  smaller ;  the 
second  quarter  is  1.99  per  cent,  larger;  the  third  quarter  .14  per 
cent,  larger;  and  the  last  quarter  1.31  per  cent,  smaller  than  for 
the  average  of  the  forty-five  years.  The  greatest  mortality  for  any 
one  season  of  any  year  is  usually  found  in  the  third  quarter,  but 
in  1890,  owing  in  large  measure  to  the  epidemic  of  influenza,  the 
first  quarter  had  the  largest  mortality. 


1898.] 


^ 
w 


^ 
'==; 


^ 


o 


DKATIfS. 


i 

s? 

-"> 

i^     ?^ 

•a     in 

5 

u* 

u 

M 

a 

CO 

o 

e» 

r» 

C5 

t- 

-o 

ri 

S 

a 

ii 

o 

c 

^ 

i/ 

■5^ 

1 

►? 

^ 

.r; 

73 

171 


?;   <   S 


>n     o     in     in     m 


Z     C 


15      —      t- 


r-     -^     — 


3        3        C 


1)        s        >. 


O        =       — 


£_5     c     ;5's     c.xj« 


S     C 


C     ^     S2 


cs      —      C5      c; 

fir;      :o      I-?      TT- 


<   s   ;s   i; 


i:       -       2       3 


O     =;     ^5 


5     3     =■     5.     ^ 

<5        "-5        <        <!        C 


o      5"      o 


5     o 

5D 

^ 

O 

c 

3 

o 

53 

•n 

g 

^ 

-«-> 

— ' 

■^ 

L. 

^ 

w 

•r, 

_■ 

- 

3 

3 

^ 

c 

172 


FORTY-SIXTH    REGISTRATION    REPORT. 


[1898. 


Nativity  of  Decedents. 

There  may  be  found  in  Table  I,  on  pages  2-5,  the  number  of 
decedents  in  1898,  by  division  of  the  two  classes  of  native  and 
foreig-n  born. 

Of  the  whole  number  of  decedents,  6,905,  4,957  were  native  born, 
that  is,  were  born  in  the  United  States,  and  1,948  were  born  out- 
side of  the  United  States. 


Parentage  of  Decedents. 

Of  the  whole  number  of  decedents,  6,905,  reported  in  1898,  2,938 
were  of  native,  and  3,967  were  of  foreign  and  unknown  parentag-e. 

By  the  term  '^  ioveign pa?'e?Hage"  is  meant  the  decedents  whose 
fathers  were  born  in  some  other  country  and  not  in  the  United 
States.  The  grandchildren  of  the  foreign  born  are  reckoned  as  of 
native  parentage,  if  their  fathers  were  born  in  the  United  States. 

The  following  eleven  towns  reported  a  larger  number  of  decedents 
of  foreign  parentage  than  of  native,  namely  :  Warren,  Warwick, 
Burrillville,  Central  Falls,  Cumberland,  Johnston,  Lincoln,  North 
Providence,  North  Smithfield,  Pawtucket,  Providence,  and  Woon- 
socket ;  also  the  State  Institutions  at  Cranston. 

These  numbers  varied  from  a  moderate  excess  to  three  or  four 
times  as  many  of  foreign  as  of  TLdXvuQ  lyarentage. 

The  following  Table  gives  the  number  and  proportion  in  every 
one  thousand  deaths  of  decedents  of  native  and  of  ioreign  paroit- 
age,  in  each  of  the  last  five  years  ;  and  in  the  aggregate  for  forty 
years,  or  from  1858  to  1897,  inclusive  : 

Table  LII. 


1898. 

1897. 

1896. 

1895. 

1894. 

40  years, 
185S-1897. 

PARENTAGE. 

§3 

a 
1 

o 

s 

Si 
CD 

Oh 

S 

15 

o 
o 

05 

a 

3 

o" 
o 

u 

s 

s 

o 
o 

Ph 

S 

a 

1 

S 
1 

o 

s 

P-I 

Native 

2,938 
3,967 

425.5 
574.5 

3,102 

4,008 

436.3 
563.7 

3,088 
4,416 

411.5 
588.5 

3,244 
4,291 

430.5 
569.5 

3,054 
4,106 

4-26.5 
573.5 

103,927 
102,579 

206,506 

503.5 
496  7 

Total 

6,905 

1000.0 

7,110 

1000.0 

7,504 

1000.0 

7  535 

1000  0 

7,160 

1000.0 

1000  0 

1898.]  DEATHS.  17,3 

Age  of  Decedents. 

In  Table  I,  on  pa^es  2-5,  may  be  found  the  aggres^ate  and  aver- 
age age  of  all  the  decedents  whose  deaths  oceuiTed  in  1898,  and 
with  the  age  of  each  sex,  in  each  town  and  county  in  the  State. 

By  that  Table  it  will  be  seen  that  the  average  age  of  all  the 
male  decedents  in  the  State,  in  1898,  was  3-1.34  years,  and  that  the 
average  age  of  all  the  female  decedents,  in  the  same  year,  was  36.34 
years  ;  the  average  age  of  all  decedents,  of  both  sexes,  was  35.31 
j-ears. 

The  average  age  of  the  total  decedents  in  the  State,  in  1898,  was 
six  one-huudredths  of  a  year  less  than  the  average  for  1897. 

The  average  age  of  the  male  decedents,  in  1898,  was  greater  by 
sixty-three  oue-hundredths  of  a  year,  and  the  average  age  of  the 
female  decedents  was  sixty-two  one-huudredths  of  a  year  less  than 
in  the  previous  year. 

The  followiugjTable  ^Nill  present,  separately,  the  average  age  of 
the  male  and  female  decedents,  and  the  average  age  of  all  dece- 
dents in  each  year  for  thirty-eight  years  ;  also  the  average  age  in 
seven  periods  of  live  years  each,  from  1861  to  1895,  inclusive  : 


22 


174 


FORTY-SIXTH    REGISTRATIOlSr    REPORT. 


Table  LIII. 


[1898. 


YEARS. 


1861 
1863 
1863 
1864 
1865 
1866 
1867 
1868 
1869 
1870 
1871 
1872 
1873 
1874 
1875, 
1876 
1877, 
1878, 
1879 
1880, 
1881 
1882 
1883, 
1884 
1885 
1886 
1887 
1888 
1889, 
1890 
1891 
1892 
1893 
1594 
1895 
1896 
1897 


^^ 


>  o 


26.95 
29.64 
28.29 
28.13 
26.88 
31.13 
32.16 
30.47 
28.62 
31.02 
32.57 
28.41 
26.18 
28.03 
29.72 
31.47 
29.25 
29.02 
31.29 
29.62 
30.99 
31.33 
33.64 
32.29 
33.53 
33.02 
30.97 
83.17 
32.20 
31.04 
82.70 
32.96 
30.97 
82.47 
31.70 
80.86 
33.71 
34.34 


?  d 
boa 

^^ 

05, 


30.58 
32.65 
80.86 
30.43 
28.97 
35.07 
35.86 
35.08 
31.29 
32.75 
34.43 
31.15 
28.62 
31.66 
32.75 
33.21 
31.56 
31.11 
83.24 
32.06 
34.07 
35.57 
37.44 
35.12 
35.60 
34.91 
32.91 
35.74 
35.74 
34.26 
36.28 
37.75 
33.99 
34.40 
36.49 
34.47 
37.06 
36.34 


^< 


Average  Age, 

5-year  periods, 

1861-1895. 


28.821 

31.15 

29.56  1- 

29.40 

27.69J 

33.091 

34.01 

32.85  I- 

30.25 

81.90J 

33.521 

29. 

27.42  1- 

28.86 

31. 27  J 

32.371 

80.45 

30.09  } 

33.29 

.30. 86  J 

32.551 

33.50 

35.55  !- 

33.76 

34.59J 

34.011 

81.95 

84.53  1- 

34.00 

33.62J 

34.471 

35.34 

32.46  1- 

I 

83.44  I 

34.08J 

32.61 

35.37 

35.31 


1898.] 


DEATHS. 


175 


Tlio  above  Table  shows  that  the  averag-e  longevity  of  the  dece- 
dents ill  lUiode  Island  increased  nearly  five  years,  during  a  period 
of  tliirty-tive  years,  ending  with  181)5. 

The  following-  Table  will  present  some  of  the  facts  of  the  preced- 
ing as  occurring  in  the  difl'erent  divisions  of  the  State,  as  well  as 
of  the  State  at  large.  It  will  show  the  average  age  of  the  dece- 
dents in  each  of  the  larger  divisions  of  the  State,  in  each  of  the 
last  four  years,  and  also  the  average  of  each  of  seven  periods  of 
five  years  each,  comprising-  the  thirty-five  years  from  1863  to  1897, 
inclusive : 

Table  LIV. 


Divisions 
OF  THE  State. 


Bristol  County 

Kent  County 

Newport  County 

Providence  County*. 

Providence  City 

Washington  County. 


Whole  State. 


1898. 

1897. 

189C. 

1895. 

Si 

ooo 

^'2 

r  a 
oo  >. 

OOi-O 

00  in 

1878-1882, 
5  years. 

40.09 

37.84 

40.88 

43.94 

42.78 

39.76 

38.45 

36.68 

32.74 

31.79 

80.92 

33.15 

31.07 

32.22 

37.66 

37.11 

39.57 

41.37 

37.27 

39.22 

39.98 

40.63 

43.41 

39.21 

32.18 

33.98 

29.74 

31.90 

30.79 

31.63 

31.83 

80.60 

33.18 

33.44 

31.33 

31.76 

32.03 

33.44 

32.19 

29.50 

50.'25 

4fi.O? 

44.95 

48.35 

46.55 

46.77 

43.39 

41.01 

35.31 

35.37 

32.61 

34.08 

33.59 

34.19 

33.97 

31.86 

OCIO 


33.61    35.12  34.78 

36.20    34.77  !  35.81 

I 

40.68  i  40.04  33.54 

28.46    25.26  29.16 

27.19    25.45  28.50 

41.14    39.67  30.87 


30.28  i  31.66  i  30.73 


By  reference  to  Table  LIV,  it  will  be  seen  that  the  average  age 
of  all  decedents  during  the  last  four  years  is  nearly  five  years 
greater  than  the  first  period  of  five  years,  1863-1807. 

Percentage  of  Decedents  by  Different  Ages. 

In  Table  YI,  on  pages  12  to  17,  inclusive,  will  be  found  the  num- 
ber of  deaths  in  1898,  in  each  town  and  each  county,  of  each  sex, 
and  in  each  period  of  life,  with  the  percentage  of  the  whole  num- 
ber of  deaths  in  each  division  to  the  population  of  the  same  bj'- 
geometrical  estimation  from  the  census  of  1895. 

The  following  Table  shows  the  percentage  of  decedents  in  each 
division  of  ages,  to  whole  number  of  deaths,  in  each  of  the  last 
six  years,  and  in  the  aggregate  for  three  periods ;  one  of  twenty 
years  and  seven  months,  from  June  1st,  1852,  to  December  31, 
1872,  inclusive;  one  of  ten  years,  from  1873  to  1882,  inclusive;  and 
one  of  ten  years,  from  1883  to  1892,  inclusive : 


*  Exclusive  of  Providence  city. 


176 


FOETY-SIXTH    REGISTEATION    EEPORT. 


[1898. 


Table  LV. 


PERIODS  OF  LIFE. 


Under  1  year 

1  and  under  2 

2  and  under  5 

Total 

5  and  under  10 

10  and  under  SO 

20  and  under  30 

30  and  under  40 

40  and  under  50 

50  and  under  60 

60  and  under  70 

70  and  under  80 

80  and  under  90 

Over  90  and  not  stated 

Total 


1898. 


22.9 
4.7 
4.1 


31.7 

2.4 

8.8 

8.0 

8.1 

8.1 

10.1 

11.1 

10.1 

5.6 

1.0 


100.0 


1897. 


22.5 
4.9 
4.5 


31.9 

2.5 
4.4 
8.0 
7.7 
7.6 
8.5 
11.5 
10.9 
6.0 
1.0 


100.0 


1896. 


24.4 
4.7 
5.9 


35.0 

3.1 

4.4 
8.0 
8.0 
7.6 
8.9 
10.0 
9.0 
5.0 
1.0 


100.0 


1895. 


21.7 
5.3 
6.3 


33.2 

3.6 
4.3 
8.6 
7.5 
8.0 
8.6 
10.3 
9.8 
5.3 
.9 

100.0 


1894. 


23.1 

4.8 
5.1 


33.0 

2.7 
5.1 
8.6 
7.4 
8.5 
8.9 
10.2 
9.3 
5.0 
1.3 


100.0 


1893. 


23.3 
5.2 
5.3 


33.7 

3.9 
4.5 

7.9 
8.0 
8.4 
8.9 
10.0 
8.9 
4.8 
1.0 


100.0 


30.4 
5.6 

5.8 


31.8 

3.5 
5.1 
8.7 
7.9 
7.5 
8.5 
9.7 
9.9 
5.9 
1.5 


100  0 


IN 
OS 

ff  o 


18.9 


8.4 


34.9 

5.0 

5.8 
9.2 
7.8 
6.9 
7.2 
8.2 
8.8 
5.1 
1.1 


100.0 


17.8 
8.8 
8.7 

35.3 

4.8 
6.0 
9.6 
8.4 
7.3 
7.0 
7.6 
7.2 
5.1 
1.1 


Compared  witli  the  average  of  thirty  years,  ending  with  1882, 
the  average  proportion  of  the  mortality  of  children  under  one 
year  of  age,  during  the  last  six  years,  was  4.8  per  cent.,  or  about 
48  in  every  one  thousand  deaths  more  than  the  average  in  the 
longer  period. 

The  proportions  in  the  other  periods  were  not  greatly  different 
from  previous  years,  although  there  was  some  increase  of  per- 
ce  ntage  in  the  age  periods  above  fifty  3'^ears. 

The  following  Table  will  present  the  varying  proportions  of 
deaths  to  whole  number  of  deaths,  in  four  different  periods  of  life, 
from  50  years  of  age  to  90  years,  grouped  in  four  periods  of  aver- 
ages of  ten  years  each,  1853-1892 ;  in  1893,  1894,  1895,  1896,  1897, 
and  1898 : 


1898. 


DEATirS. 


177 


Table  LYI. 


Age  of 
Decedents. 


oS2 

"a 


Pr.ct. 
50  to  60 1    6.7 

60  to  70 6.9 


70  to  SO. 
80  to  90. 


7.3 
4.6 


SS5 


Pr.ct.  Pr.ct. 
7.3 

8.3 


8.4 
5.4 


7.2 
8.2 
8.8 
5.1 


Pr.ct. 
8.5 

9.7 

9.9 

5.9 


1893. 


10.0 
8.9 
4.8 


1894. 


Pr.ct.  Pr.ct. 
8.9      8.9 


10.2 
9.3 

5.0 


1895. 


Pr.ct. 
8.6 

10.8 

9.8 
5.3 


1896. 


Pr.ct. 

8.g 

10.0 
9.0 
5.0 


1897. 


Pr.ct:  Pr.ct. 
10.1 

11.1 


8.5 
11.5 
10.9 

6.0 


10.1 
5.6 


Colored  Decedents. 

There  were  196  deaths  of  persons  of  color  during  1898. 
The  towns  from  which  they  were  returned,  and  number  in  each, 
were  as  follows : 

Providence  City 117 

Bristol 2 

Warwick 3 

Jamestown 1 

Newport  City 39 

Cranston 16 

East  Providence 2 

Johnston 1 

Pawtucket 3 

Hopkinton 2 

Narragansett 2 

South  Kingstown 5 

Richmond 1 

Westerly 2 

Total 196 


Season. — The  deaths  in  the  different  months  were  as  follows : 


m 


I'ORTY-SiXTH    REGISTRATION    REPORT. 


[1898. 


Months.         Deaths. 

January 13 

February 13 

March 18 


Months. 
April  . . . 
May — 


Deaths. 

13 

16 


June 19 


Months.  Deaths. 

July 17 

August 30 

September 18 


Months.  Deaths. 

October 16 

November 8 

December 16 


Pirst  Quarter 43       Second  Quarter.  .  .48       Third  Quarter 65       Fourth  Quarter  . .  .40 

First  six  months,  91 ;  second  six  months,  105.    Total,  196. 

The  following  summary  will  show  the  proportion,  to  the  whole 
colored  population,  of  each  of  the  events  of  birth,  marriage,  and 
death  of  colored  persons,  during  the  twenty-one  years  from  1878 
to  1898,  inclusive : 


879. 


881. 


885. 


887. 


One  Birth 
in  every 
....36.4.... 
....39.6.... 
....47.1.... 
....34.3.... 

,...36.8 

....83.4.... 
....34.8.... 
....36.7.... 
....34.6.... 

,...35.8 

....37.6.... 


890. 
891. 
89S. 


895. 
896. 
897. 


.45.3. 
.42.8. 
.40.6. 
.38.6. 
.34.3. 
.35.9. 
.35.1. 
.38.5. 
,37.9. 


One  Person 
married  in  every 

39.2 

51.4 

........43.3 

39.2 

44.5 

63.3 

46.0 

51.7 

43.2 

38.9 

55.0 

52.0 

57.6 

41.2 

38.5 

44.2 

56.6 

42.6 

38.9 

36.0 

48.2 


One  Death 

in  every 
....40.2 

37.3 

....44.0 
....35.4 
....45.4 
....39.7 
...34.5 
....40.1 
....37.8 
....37.2 
....38.0 
....40.0 
..  .41.0 
....36.4 
....31.3 

31.3 

....34.2 

32.1 

....37.9 
....41.3 
....41.8 


In  every  one  thousand  of  the  colored  population  there  were,  in 
1898 : 


Of  Births. 
26.4... 


Of  Persons  Married. 
20.8 


Of  Deaths. 
23.9 


The  following  exhibit  will  show  the  number  of  living  births, 
marriages,  and  deaths  among  the  colored  population  of  Rhode 


1«U8.  I  DKATIIS.  179 

Tsl.uul,  during'  ten  years,  from  18G1  to  1870,  inclusive  ;  10  years, 
from  1871  to  18H0,  inclusive  ;  10  years,  from  1881  to  1800,  inclu- 
sive;  and  for  1801,  1802,  180:J,  180i,  1895,  1800,  1897,  and  1808,  and 
the  aggregate  of  the  same  : 

10  years,  1801-1870 1,131  births 557  marrla^'es 1,153  deaths. 

10  years.  1871-1880 1,GI5  births 705  marriages 1,573  deaths. 

10  years,  1881-J890 1.951  births 752  marriages 1,800  deaths. 

1891 173  births 95  marriages 304  deaths. 

1892 182  birtlis 98  marriages 236  deaths. 

1893 203  births 90  marriages 2.50  deaths. 

1891 221  births 07  marriages 222  deaths. 

1895 221  births 93  marriages 247  deaths. 

1890 220  births. .   102  marriages 209  deaths. 

1697 200  births 110  marriages 192deaths. 

1898 216  births 85  marriages 196  deaths. 

Total,  38  years 0,348  births 2,754  marriages 6,342  deaths. 

During  the  first  ten  years  (1861-1870)  there  were  22  more  deaths 
than  births ;  during  the  second  ten  (1871-1880j,  42  more  births 
than  deaths ;  during  the  last  ten  years  (1881-1890),  94  more  births 
than  deaths.  During  1891  the  number  of  births  was  31  less  than 
the  number  of  deaths.  During  1892  the  number  of  births  was  54 
less  than  the  number  of  deaths.  In  1893  the  number  of  births 
was  47  less  than  the  number  of  deaths.  In  1894  the  number  of 
births  was  1  less  than  the  number  of  deaths.  In  1895  the  num- 
ber of  births  was  26  less  than  the  number  of  deaths.  In  1896  the 
number  of  births  was  17  more  than  the  number  of  deaths.  In 
1807  the  number  of  births  was  14  more  than  the  numl)er  of  deaths, 
and  in  1898  the  number  of  births  was  20  more  than  the  number  of 
deaths. 


182 


FORTY-SIXTH   REGISTRATION  REPORT 


[1898. 


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(  AT  Si:s  OF   DKATII,   l<Si)8. 


The  statistics  of  the  causes  of  death  in  Khode  Island,  in  1898, 
may  be  found  in  Tables  YII,  VIII,  IX,  and  X.  The  whole  num- 
ber of  deaths,  as  previously  stated,  was  6,905,  which  was  205  less 
than  the  number  returned  in  1897,  and  599  less  than  the  number 
reported  in  1896.  The  number  of  which  the  cause  of  death  was 
reported  was  6,885,  and  the  number  of  which  the  cause  was  not 
stated  was  20. 

The  following  Table  shows  the  number  of  deaths,  in  1898,  in 
each  large  division  of  the  State,  and  the  number  and  proportion 
in  each  division  from  which  causes  were  reported  unknown : 

Table  LYII. 


Bristol 
County. 

Kewport 

County 

Towns. 

9 

256: 

t>  o  o 

a 
o  . 

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a 

a 
o 

1 

o 

Number  of  deaths 

Cause  not  stated 

212 

516 
3 

145 
2 

1,168 
3 

869 
3 

218 

349 

1 

548 

1 

2,929 
8 

458 

6.905 
20 

172           T9 

888 

184 

349 

543 

866 

345 

29 


186 


FOETT-SIXTH    EEGISTRATION    REPORT. 


[1898. 


Table  LVIII. 

Proportion  of  Deaths  reported  with  "  Causes  Unknoivn  "  in  each 

Division  of  the  State,  for  a  period  of  forty -three  years, 

from  1856  to  1898,  inclusive. 


YEARS. 


856-1860,  One  in  every. 
861-1865,  One  in  every 
866-1870,  One  in  every. 
871-1875,  One  in  every. 


876,  One  in  every 

877,  One  in  every 

878,  One  in  every 

879,  One  in  every 

880,  One  in  every 

1-1880,  One  in  every. 


881,  One  in  every 

882,  One  in  every 

883,  One  in  every 

884,  One  in  every 

885,  One  in  every 

-1885,  One  in  every. 


5,  One  in  every 

7,  One  in  every 

8,  One  in  every 

9,  One  in  every 

0,  One  in  every 

6-1890,  One  in  every. 


891,  One  in  every 

892,  One  in  every 

893,  One  in  every 

894,  One  in  every 

895,  One  in  every 

891-1895,  One  in  every. 


896,  One  in  every. 

897,  One  in  every. 

898,  One  in  every. 


State  Divisions. 


Wo 


18.1 
33.1 
83.9 
38.6 

11.5 
201.0 
32.1 
16.6 
21.9 
31.9 

204.0 
37.6 
40.4 
100.0 
185.0 
75.4 

110.5 
212.0 
251.0 
208.0 


228.0 


1,155.0 


5.0 
13.1 
8.9 

8.6 

7.9 
17.7 
7.4 
9.2 
23.5 
17.2 

13.0 
11.6 
15.9 
40.0 
355.0 


go 


20.1 

192.5 
343.0 
408.0 
152.0 


413.0 


96.3 
192.3 
522.0 


277.5 

116.6 
536.0 
172.0 


7.2 
16.1 
26.7 
13.1 

18.5 
9.7 
9.0 
12.4 
13.5 
19.9 

11.2 
10.9 
15.0 
81.6 
137.0 
18.8 

86.0 
73.5 
152.7 
221.0 
236.0 
125.1 

598.0 
591.0 
64.2 
173.0 
123.7 
159.6 


127.7 
104.6 


'2  « 
o  o 


7.1 
9.9 

9.9 
11.9 
13.7 

9.5 
10.5 
18.1 

7.3 
10.6 
15.3 
91.7 
45.6 


15.7 

87.0 
782.6 
164.3 
176.7 
109.0 
154.8 

159.0 

240.0 

70.3 

91.6 

280.6 


126.5 

707.5 
139.5 
596.3 


30.'; 


83.4 

124.3 
323.0 
124.2 
225.1 
122.3 


39.6 

143.0 
187.0 
392.8 
372.1 
309.1 
242.2 

195.1 
264.0 
293.8 
120.0 
190.0 


189.0 

175.0 
212.0 
324.0 
144.9 
90 


151.8 

155.6 
187.4 
366.1 


7.3 
23.7 
16.4 
13.6 

22.8 
16.0 
21.7 
8.6 
17.8 


26.9 

6.5 
7.7 
17.0 
90.4 
52.2 


14.0 

55.2 
351.0 
368.0 
338.0 
159.0 


171.2 

154.0 
184.0 
307.0 
402.0 
123.7 


195.2 
383.0 


184.5 


9.4 
15.1 
14.1 
17.1 

19.3 
23.2 
21.1 
17.6 
20.7 
25.2 

14.4 
18.8 
38.4 
123.4 
91.3 
28.6 

113.7 

333 

235.7 

160.0 

161.0 


177.6 

194.0 
264.0 
109.9 
130.2 
144.9 


152.5 


284.4 
345.2 


106.8 
66.0 
70.9 
58.4 


*  Not  including  Providence  city. 


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188  PORTY-SIXTH    REGISTRATION    REPORT.  [1898. 

The  number  of  deaths  from  consumption,  in  1898,  was  109  more 
than  in  1897,  an  increase  of  over  14  per  cent. 

From  pneumonia  there  was  a  decrease  of  93  deaths  from  that 
of  the  previous  year,  or  over  14^  per  cent.  The  fatality  from 
pneumonia  has,  however,  been  slowly  increasing,  in  proportion  to 
whole  number  of  deaths,  for  the  last  twenty  years. 

From  diseases  of  the  heart  there  was  a  decrease  of  28  deaths 
from  1897.  For  more  than  16  years,  previous  to  1898,  diseases  of 
the  heart  have  been  steadily  increasing  as  causes  of  death,  the 
mortality  in  1897  being  the  largest  ever  recorded  in  this  State. 

There  were  93  deaths  from  diphtheria,  in  1898,  a  decrease  of  138 
from  the  number  in  1897.  ■ 

From  kidney  diseases  there  was  an  increase  of  84,  or  nearly  22 
per  cent,  over  the  number  in  1897. 


ISOS.]  CAUSES    OF    DEATH.  189 


COMPAILVTIYE  STATISTICS  AND  (X)MMENTS. 


There  have  been  presented  in  the  preceding-  pages,  numerically 
and  in  tabular  form,  the  different  causes  of  death  in  Rhode  Island, 
in  1898,  with  various  summaries  and  illustrations.  In  Tables  VII 
and  Till  they  were  presented  at  considerable  length,  in  various 
specific  terms  ;  in  Table  IX  more  or  less  grouped  in  a  general 
nosological  arrangement ;  and  in  Table  X  the  same  for  a  period 
of  forty-six  years. 

In  Table  YII  the  number  of  deaths  from  each  cause  and  of  each 
sex  is  shown,  for  each  month  in  the  year,  and  the  nativity  and 
parentaije  of  the  decedents  from  each  cause  during  the  year. 

In  Table  YIII  the  number  of  decedents  of  each  sex,  from  each 
cause,  in  the  t/ijferoit periods  of  life,  is  given. 

In  Table  IX,  with  the  classification  and  percentage  of  causes  of 
death,  the  number  of  each  general  cause,  in  each  division  of  larger 
population,  is  given. 

In  Table  X  a  nosological  summary  of  causes  of  death  for  the 
whole  State,  in  each  of  forty-six  years,  is  given. 

Table  LX  is  a  compend,  in  part,  of  Tables  YII,  YIII,  and  IX, 
previously  alluded  to,  and  contains  the  particulars  of  the  most 
important  causes  of  death  in  1898,  and  comprises  the  principal 
causes  which  will  be  commented  upon  in  the  following  pages : 


90 


FOETT-SIXTH    REGISTRATION    REPORT. 


[1898. 


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192  FORTY-SIXTH    EEGISTRATION    REPORT.  [1898. 


Deaths  from  Accidents.    1898. 

The  number  of  deaths  from  accidental  causes  of  all  kinds,  re- 
ported in  Rhode  Island,  in  1898,  was  296. 

Among  the  296  deaths  from  accidents  there  were  19  from 
asphyxia ;  4  from  bicycle  accidents  (collision  of  bicycles,  1 ;  col- 
lision of  bicycle  with  team,  1 ;  fall  from  bicycle,  2) ;  21  from  burns 
and  scalds ;  60  from  drowning ;  7  by  electric  car  (5  were  struck  by 
car  while  walking  on  or  crossing  track ;  1  by  falling  or  stepping 
from  car  while  in  motion ;  1,  a  child,  deaf  and  dumb,  was  run  over 
by  car  while  rolling  a  hoop) ;  by  elevator,  4  (fall  into  well,  3 ;  1 
crushed  between  floor  of  car  and  door) ;  7  by  exposure  to  cold  and 
storm ;  58  from  falls ;  9  from  firearms ;  23  from  insolation ;  1  by 
lightning ;  5  by  machinery ;  3  from  overdose  of  medicine ;  8  from 
poison  ;  30  by  railroad  ;  and  37  by  various  other  accidents. 

Among  the  groups  of  causes  there  were  in  detail  causes  as  fol- 
lows : 

Asphyxia. — By  bed  clothing,  6  (infants) ;  by  overlaying,  4 ;  in 
sewer  trench,  by  caving  in  of  sand,  1 ;  by  illuminating  gas,  3 
(adults) ;  by  smoke  in  burning  building,  3 ;  by  piece  of  meat,  1 
(adult) ;  while  in  drunken  stupor,  owing  to  position  of  head,  1. 
Total,  19,  or  6.4  per  cent,  of  the  whole  number  of  accidents. 

Burns  and  Scalds. — In  burning  building,  3  (ages,  21,  65,  67 
years ;  by  explosion  of  kerosene  lamp,  3  (ages,  18,  22,  49  years) ; 
by  upset  kerosene  lamp,  1  (child  pulled  lamp  from  table) ;  by  ex- 
plosion of  oil-stove,  1  (adult) ;  plajdng  with  matches,  3 ;  by  clothes 
taking  fire  from  bonfire,  1  (age,  5  years) ;  by  falling  into  pail  or 
tub  of  hot  water,  2  (children  under  5  years) ;  by  hot  fat,  1  (age,  1 
year) ;  by  upset  teapot  or  gravy  dish,  3  (infants) ;  manner  unspeci- 
fied, 3.     Total,  21,  or  7.1  per  cent,  of  whole  number  of  accidents. 

Droioning. — Bathing,  12  ;  from  wrecked  schooner  or^  sloop,  3 ; 
by  capsizing  of  boats,  9 ;  by  falling  overboard  from  small  boats, 
6 ;  while  crossing  ice,  1 ;  from  a  scow,  while  riding  a  bicycle  on 
same,  1 ;  in  uncovered  cistern,  1  (age,  3  years) ;  by  falling  into 
while  playing  on  edge  of  water,  7  (ages,  4,  5,  5,  6,  7,  7,  9  years ;  1 
in  bath-tub  (climbed  into  tub  while  mother  was  hanging  out 
clothes,  age,  1  year) ;  found  in  water,  manner  unknown,  19.  Total, 
60,  or  20.1  per  cent,  of  whole  number  of  accidents. 


1898.1  CAUSES  OK   i»i;atii.  193 

Fidls. — Fi(Mu  l)uil(liiiy  or  staj^fing-,  4;  into  oojil-lioU',  1;  down 
stairs  or  steps,  17  (ages,  1,  15-20;  1,  20-30;  3,  40-50;  4,  60-70;  4, 
70-80;  4,  80-00);  from  ladder,  2;  from,  or  over,  a  Icdf^e,  1  ;  from 
load  of  hay,  1;  from  tree,  1;  from  Avindow,  4  (a<jcs,  1,  1,  2,  97 
years) ;  on  ice,  3  (ages,  8,  42,  <j5  years) ;  from  tniek  in  mill,  1  (age, 
13  years) ;  from  high  bed,  2  (infants) ;  from  cradle,  1 ;  on  floor, 
ground,  or  sidewalk,  7 ;  from  veranda,  1  (age,  84  years) ;  from 
chair,  1  (age,  90  years) ;  on  jiicket  fence,  1  (age,  8  years) ;  in 
bleachery,  1  (machinist) ;  unsi)ecitied,  9.  Total,  58,  or  19.(5  per 
cent,  of  whole  number  of  accidents. 

Fireanas. — Seven  out  of  the  nine  accidents  by  firearms  occurred 
while  out  hunting ;  2,  by  the  careless  handling  of  loaded  revolvers 
in  the  hands  of  others. 

Overdone  of  Medicine. — One  by  chloral,  and  2  by  morphine  (self- 
administered), 

I^ii^vn. — Ammonia,  taken  bj"  mistake  for  Jamaica  ginger  or  other 
medicine,  2  ;  corrosive  sublimate,  given  by  mistake  to  child,  1 ; 
corrosive  sublimate  or  acetic  acid  taken  by  mistake  in  one  case, 
and  muriatic  acid  in  another ;  1  by  strychnia  (tablets  found  and 
eaten  by  child) ;  turpentine  or  a  polishing  liquid  drank  while 
under  influence  of  liquor,  1 ;  by  lead  (a  painter),  1. 

Baihoad. — Fourteen  were  walking  on  or  crossing  track,  1  was 
trying  to  climb  on  moving  train,  1  at  grade  crossing  (crawled 
under  gate),  1  stnick  by  engine  while  trying  to  stop  runaway 
horse.  Of  the  employes  that  were  killed,  5  were  on  track  and 
were  struck  by  engine,  3  were  thrown  or  fell  from  moving  train,  1 
was  caught  between  car  and  bumping-post,  1  caught  between 
moving  car  and  station  platform,  1  was  struck  by  overhead  bridge, 
1  while  coupling  cars,  and  1  in  a  collision. 

Accidents,  Various. — Thrown  from  carriage  or  wagon,  10  ;  1 
each  :  by  explosion  of  djaiamite  (while  heating  it  in  water  over  a 
forge),  thrown  from  saddle  h\  fall  of  horse,  over-exertion  from 
bicycle  riding  (peritonitis),  kicked  by  a  horse,  crushed  by  grind- 
stone, by  falling  tree,  by  violent  exercise  (peritonitis),  stepped  on 
broken  bottle  (tetanus),  foot-ball  accident — rupture  of  bladder,  hit 
by  derrick-boom,  crushed  between  car  and  post  at  coal  whari, 
slight  injury  to  thumb  (septicjrmia),  wound  of  lung  while  trying 
to  stop  runaway  horse,  hanged  himself  by  clothesline  to  door  (in 
play,  age,  16  years),  chestnut  in  bronchial  tube  (age,  2  years),  blow 
on  stomach  while  diving  (peritonitis),  stepped  on  rusty  nail  (septi- 


194  FORTY-SIXTH    REGISTRATIOlSr    REPORT.  [1898. 

csemia),  crushed  skull  by  falling  boiler  at  brewery,  cut  in  knee- 
joint  with  axe,  fracture  of  skull — struck  on  head  in  drunken  row, 
shocked  by  live  wire  (a  lineman),  injury  to  foot — cause  unknown, 
by  swallowing  copper  coin — causing-  gastro -enteritis,  injury  to  toe- 
nail (gangrene),  wound  of  hand  with  nail  (septicaemia) ;  unspeci- 
fied, 2.     Total,  37. 

Of  the  whole  number  of  deaths  by  accidents,  233  were  males 
and  63  were  females ;  111  were  of  native  and  185  of  foreign  parent- 
age, or  37.50  per  cent,  of  native  to  62.50  of  foreign. 

Of  the  sexes,  the  proportion  was  78.72  per  cent,  of  male  dece- 
dents to  21.28  per  cent,  of  female  decedents. 

In  regard  to  periods  of  life,  the  decedents  from  accidental  causes 
were  divided  as  follows :  under  5  years,  43  ;  5,  and  under  10,  19  ; 
between  10  and  20,  29;  between  20  and  40,  67 ;  between  40  and  60, 
76  ;  over  60,  62. 

In  regard  to  sectional  divisions  of  the  State,  11  of  the  deaths 
from  accidental  causes  were  in  Bristol  county  ;  18  in  Kent  county  ; 
26  in  Newport  county  ;  219  in  Providence  county ;  and  22  in  Wash- 
ington county. 

The  whole  number  of  deaths  from  accidental  causes,  in  1898,  in 
proportion  to  the  w/iole  numher  of  deaths  in  the  State,  was  about 
43  in  every  one  thousand.  The  number  in  proportion  to  the  whole 
population  was  .71  in  every  one  thousand. 

The  number  of  deaths  in  each  division  of  the  year  was  as  fol- 
lows : 

First  Quarter 52       Thii-d  Quai-ter 101 

Second  Quarter 56       Fourth  Quarter 87 

First  half 108       Second  half 188 

Whole  year 296 

In  the  following  Table  may  be  found  the  number,  sex,  parent- 
age, and  locality  of  mortality  f^'om  accidents,  for  thirty-three 
years,  ending  December  31,  1898  : 


1898.] 


CAUSES   OF    DEATH. 


195 


Table  LXI. 

MortnliUi  in  the  Stfttefrom  Accidevtx,  \r,ith  the  Percevtar/e  of  the  Whole  Number  of 

Denthn;  Sex,  rarentrir/e,  and  Locality,  for  thirtji-threc  yearH,  from 

ISGG  to  ISOS,  inclnsire,  in  three  periods  of  fire  years  each, 

and  f 01-  each  of  the  last  eighteen  years. 


1 

© 

o 

VARIETIES. 

o 

SEX. 

PARENT- 
AGE. 

STATE  DIVISIONS. 

YEARS. 

2 
o 

CO 

-a 
a 

zS 

n 
pq 

si 
a 
"3 

2 
n 

01 

C 

o 
'55 

s 

a 
o 
o 

c 

i 

o 
a 

bi 

□ 
'S 
o 

"3 
o 

.2 

o 
w 

-a 
a> 

2 
'o 
<u 
c 

a 
a 

to 

3 

.2 
> 

CO 

Is 

> 

CS 

a 

1 

a 
3 
0 
0 

0 
n 

1 

8 

a 
a> 

c 

s 

8 

0 
0. 

<D 

« 

c 

0 
0 

<D 

a 

'> 
■  0 

0 
<o 
0 

c 

"2 
0 

c 

3 
0 

a 
0 

a 

1 

5  yrs.  1866- 
1870 

490 

77 

124 

89 

14 

43 

143 

2.18 

375 

115 

238 

252 

22 

84 

46 

187 

162 

39 

5  yrs,  1871- 
1875 

610 

78 

164 

90 

21 

71 

186 

2.97 

493 

117 

283 

827 

26 

46 

50 

200 

240 

48 

5  yrs.  1876- 
1880 

607 

75 

166 

69 

28 

58 

14 

197 

2.72 

450 

157 

249 

358 

17 

58 

47 

178 

281 

81 

1881 

155 

16 

29 

19 

9 

20 

19 

43 

3.09 

107 

48 

62 

93 

5 

17 

12 

60 

56 

5 

1882 

178 

17 

40 

31 

6 

16 

8 

60 

3.50 

130 

48 

72 

106 

5 

9 

15 

60 

80 

9 

1883 

153 

18 

27 

21 

6 

16 

12 

53 

2.83 

117 

36 

61 

92 

4 

8 

9 

63 

66 

3 

1884 

197 

20 

41 

31 

7 

16 

11 

71 

3.82 

147 

50 

90 

107 

5 

19 

14 

65 

76 

18 

1885 

173 

19 

42 

25 

9 

15 

9 

54 

3. SO 

135 

38 

72 

101 

5 

6 

8 

58 

83 

13 

1881-1885... 

856 

90 

179 

127 

37 

83 

59 

281 

3.20 

636 

220 

357 

499 

24 

59 

58 

306 

361 

48 

1880 

190 

23 

58 

19 

6 

20 

9 

55 

3.25 

141 

49 

84 

106 

16 

11 

16 

62 

72 

13 

1887 

206 

17 

39 

17 

23 

7 

24 

14 

65! 

3.24 

158 

48 

92 

114 

5 

11 

23 

81 

71 

15 

1888 

190 

27 

46 

18 

8 

12 

25 

8 

46 

2.87 

145 

45 

63 

127 

4 

6 

14 

70 

88 

8 

1889 

216 

20 

52 

31 

25 

7 

23 

9 

49 

4.10 

146 

70 

88 

128 

2 

14 

13 

73 

101 

13 

1890 

250 

20 

71 

82 

26 

11 

31 

12 

47 

3.60 

199 

51 

99 

151 

7 

" 

24 

75 

111 

16 

188G-1890... 

1052 

107 

266 

117 

82 

43 

123 

52 

202 

8.29 

789 

263 

426 

626 

34 

59 

90 

861 

443 

65 

1891 

233 

18 

52 

21 

29 

16 

30 

17 

50 

3.54 

174 

59 

78 

155 

5 

18 

16 

95 

89 

10 

1892 

309 

21 

48 

33 

60 

20 

29 

8 

90 

4.18 

225 

84 

115 

194 

8 

IS 

21 

100 

158 

9 

1893 

264 
284 

26 

28 

47 
52 

25 
29 

25 
20 

14 
8 

39 
86 

14 
21 

74 
40 

3.55 
8.27 

195 
189 

69 
45 

88 
74 

176 
160 

0 
6 

21 
24 

21 
18 

75 
88 

126 
81 

12 

1894 

17 

1895 

293 

28 

61 

57 

2 

8 

86 

26 

75 

3.89 

2S3 

60 

88 

205 

6 

23 

18 

85 

141 

25 

1891-1895... 

1383 

121 

260 

165 

136 

06 

170 

86 

329 

3.69 

1016 

317 

443 

890 

84 

99 

89 

443 

595 

73 

1896 

296 

25 

39 

48 

8 

36 

24 

116 

3.04 

226 

70 

101 

195 

6 

25 

84 

85 

ISO 

17 

1897 

263 

41 

40 

64 

7 

24 

22 

65 

8.70 

197 

66 

94 

160 

12 

15 

22 

87 

115 

12 

IS98 

206 

21 

60 

58 

8 

30 

19 

100 

4.29 

233 

68 

111 

1 

185 

11 

18 

26 

85 

m 

82 

Total,33yrs 

5803 

1 

035 

1298 

827 

218 

232 

688 

276 

1679 

3.33 

4415 

1888 

2308j 

8501 

186 

408 

1 

452 

1982 

2470| 

855 

*  Kxclusivt"  i)f  I^rnviileiu'i' citv. 


]96 


FORTY-SIXTH    EEGISTEATION"    REPOET. 


[1898. 


Table  LXII. 

Mortality  in  fhe  State  from  Alcoliolism,  with  the  Percentage  of  the  Whole  Nmnher 

of  Deaths,  Sex,  Parentage,  and  Locality,  foi^  thirty-three  years, 

from  1866  to  1898,  indusim. 


a 

o 

03  to 

a 

a 

O 
u 

SEX. 

PARENTAGE. 

DIVISIONS   OJ 

THE 

5TATE. 

YEARS. 

Is 

% 

53 

73 

52 

17 
16 
17 
19 
16 

m 
0) 

a 

6 
> 

d 

P 

o 
o 

o 

m 

a 
s 
o 

Q 

c 

a 

o 
o 

o 
p. 

* 

a 

o 
o 

ai 

"> 
o 

O 
<u 
o 

•a 
!S 
"> 
o 

u. 
Ah 

3 
o 
a 
fl 
_o 

"So 

a 
!a 

5  years,  1866-1870 
5  years,  1871-1875 
5  years,  1876-1880 
1881      

63 
93 

79 

24 
28 
29 
27 
23 

.40 

.45 

.35 

.51 
.58 
.54 
.53 
.41 

9 
20 

27 

12 
13 
8 
6 

45 

3 

3 
6 
8 
5 

32 

37 

25 

5 
8 
7 
10 
6 

30 

56 

54 

19 
20 
22 
17 
16 

5 

2 

2 

1 

6 
6 
4 

6 
9 
6 
1 

18 
25 
18 

9 
10 

9 
11 

25 

48 

45 

14 
18 
16 
12 

7 

3 
3 
4 
1 

]^882           

1 

1883        

2 

1 
1 
1 

1 
4 

1 

"1884         

1 

1885       

1 

1881  1885  

130 

12 
16 
16 
31 
25 

.50 

.20 
.25 
.32 
.50 

.37 

85 

9 
14 
10 
23 
20 

36 

2 
4 
5 
12 

8 

94 

10 
12 
11 
19 
17 

3 

1 
2 

3 

2 

6 

1 
2 
2 

1 

46 

3 
5 
5 
13 
11 

67 

7 
4 
9 
14 
11 

5 

1886           

1887 

1 

1888      

1889 

2 
2 

1 

1890                

1 

1886  1890 

100 

29 
36 
44 
39 
24 

.31 

.47 
..    .48 
.59 
.54 
.32 

76 

22 
27 
34 
33 
19 

24 

7 
9 
10 
6 
5 

31 

8 
8 
15 
12 
5 

69 

21 
28 
29 
27 
19 

1 
1 

1 

3 

1 

3 

4 

6 

4 
4 

7 
2 

.37 

10 
12 
9 
14 
10 

45 

13 
17 
23 
16 
13 

2 

1891 

1893 

2 

1893 

3 

1894 

2 

1895    

1 

1891-1895 

172 

34 

36 

45 

751 

.48 

.45 
.51 
.65 
.43 

135 

28 

26 

37 

565 

37 

6 

10 

8 

186 

48 

7 

10 

13 

239 

124 

37 

26 

33 

512 

3 

1 

23 

8 

2 

1 

3 

36 

17 

6 

5 

3 

64 

55 

10' 

11 

13 

233 

82 

14 

15 

22 

363 

1896 

1 

1897 

4 

1898 

4 

Total,  33  years.. 

32 

Exclusive  of  Providence  city. 


1808.]  f'AL'SKS    OF    DEATir.  10? 

Apoplexy  and  Paralysis, 

There  were  410  deatliH  from  apoplexy  .'uid  ])aralysis  in  IHiode 
Tslaud,  ill  18!)8,  acconliiig'  to  the  returns.  The  iinmber  reported 
is  53  less  than  in  the  year  1897. 

The  whole  number  of  deaths  from  these  two  causes  represents 
fi.02  per  cent,  of  all  causes,  and  a  proportion  of  1  to  every  one 
thousand  of  the  population. 

Of  the  sexes,  there  were  203  males  and  213  females. 

Of  parentage,  245  were  of  native  parentage,  and  171  of  foreign. 

As  observed  in  previous  reports,  the  older  native  population 
has  steadily  been,  in  a  very  large  proportion,  more  prone  to  apo- 
plexy than  the  foreign,  or  the  children  of  the  foreign  population. 

It  will  be  observed  that  the  proportion  of  deaths  from  apoplexy 
and  paralysis,  to  the  whole  mortality  from  all  causes,  has  steadilj^ 
increased  from  about  three  and  three-quarters  per  cent.,  during 
the  first  quinquennial  (186G-1870),  to  nearl}^  five  and  three-quar- 
ters per  cent.,  during  the  quinquennial  (1891-1895). 

The  following  Table  will  present  the  sex,  parental,  and  local 
relations  of  apoplexy  and  paralysis,  as  causes  of  death,  during 
the  last  thirty-three  years :  (Providence  city  not  included  in  the 
Providence  county  statement.) 


198 


FORTY-SIXTH   REGISTEATIOK   REPORT. 


[1898. 


Table  LXIII. 

Mortality  in  the  State  from  Apoplexy  and  Paralysis,  1S66  to  1898,  inclusive. 


|i 

Is 
o 

^1 

S  CD  ^- 
III 

a 
o 

SEX. 

PAEBNTAGE. 

DIVISIONS  OF  THE 

STATE 

YEARS. 

to 
a> 

a 

to 

!> 
1 

'3 

;-> 
o 

.2  3 
U  o 

mo 

Wo 

o  >> 

o 

2g 

a 
tu 

-a 

PmO 

fl 
o 

s  >> 

1866-1870. . 

15,391 

574 

3.73 

384 

290 

464 

110 

53 

43 

77 

145 

324 

33 

1871 

3,344 

156 

4.66 

73 

83 

113 

43 

10 

17 

15 

40 

61 

13 

1872 

4,247 

135 

2.97 

62 

63 

96 

29 

17 

9 

10 

37 

52 

10 

1873 

4,403 

134 

3.04 

59 

75 

109 

25 

9 

8 

17 

26 

57 

17 

1874 

4,339 

156 

3.69 

84 

73 

120 

36 

14 

10 

16 

43 

59 

15 

1875 

4,317 

166 

3.61 

79 

87 

133 

33 

7 

13 

17 

46 

75 

8 

1871-1875.. 

20,540 

787 

3.59 

357 

380 

571 

166 

57 

57 

75 

181 

304 

63 

1876 

4,116 

165 

4.01 

79 

86 

130 

35 

13 

11 

13 

45 

68 

15 

1877 

4,450 

181 

4.07 

87 

94 

123 

58 

10 

10 

18 

52 

74 

19 

1878 

4,441 

188 

4.23 

104 

84 

145 

43 

13 

16 

21 

58 

66 

15 

1870 

4,472 

230 

4.92 

114 

106 

146 

74 

12 

9 

29 

71 

89 

10 

1880 

4,829 

315 

4.67 

109 

106 

157 

58 

18 

13 

22 

71 

78 

13 

1876-1880.. 

32,308 

969 

4.77 

493 

476 

701 

368 

65 

59 

101 

297 

875 

72 

1881 

5,016 

244 

4.86 

116 

138 

170 

74 

17 

15 

25 

70 

101 

16 

1883 

5,074 

265 

5.22 

139 

136 

168 

97 

15 

29 

24 

65 

117 

15 

1883 

5,283 

275 

5.22 

138 

137 

192 

83 

11 

28 

22 

75 

118 

31 

1884 

5,141 

298 

5.80 

135 

163 

176 

122 

21 

14 

28 

108 

105 

S3 

1885 

5,389 

289 

5.38 

144 

145 

183 

106 

16 

18 

38 

99 

110 

18 

1881-1885.. 

25,902 

1,371 

5.29 

673 

699 

889 

482 

80 

104 

127 

417 

651 

93 

1886 

5,849 

333 

5.70 

173 

160 

230 

103 

11 

27 

32 

108 

120 

35 

1887 

6,340 

328 

5.17 

161 

167 

313 

115 

21 

27 

23 

101 

128 

38 

1888 

6,594 

367 

5.41 

164 

303 

234 

133 

29 

26 

29 

118 

137 

33 

1889 

6.359 

323 

5.17 

140 

183 

204 

119 

33 

33 

28 

101 

106 

33 

1890 

6,934 
31,976 

341 

4.91 

168 

173 

S06 

135 

21 

21 

23 

110 

144 

22 

1886-1890. . 

1,692 

5.29 

806 

886 

1,087 

605 

105 

133 

135 

533 

635 

151 

1891 

6,620 

335 

5.08 

160 

175 

307 

128 

17 

29 

33 

118 

118 

21 

189S 

7,396 

362 

4.29 

176 

186 

195 

167 

12 

29 

39 

124 

134 

34 

1893 

7,440 

407 

5.47 

206 

301 

227 

180 

21 

28 

26 

138 

171 

23 

1894 

7,160 

445 

6.23 

231 

214 

243 

202 

19 

83 

40 

155 

165 

33 

1895 

7,535 

417 

5.53 
5.71 

199 

218 

288 

179 

18 
87 

29 

80 

150 

153 

37 

1891-1895. . 

.36,151 

1,966 

972 

994 

1,110 

856 

148 

167 

685 

741 

138 

1896 

7,504 

419 

5.58 

199 

220 

235 

184 

20 

30 

43 

146 

141 

40 

1897 

7,110 

469 

6.70 

229 

340 

263 

206 

13 

33 

40 

175 

184 

24 

1898 

6,905 

416 

6.02 

203 

213 

245 

171 

17 

30 

48 

136 

152 

83 

*  Not  including  Providence  city. 


1898.]  causes  of  death.  199 

Table  LXIV. 

Aijesof  Dccedentxj'rum  Ajiuplexy  and  Puralynia,  in  each  of  the  last  thirty  three  years. 


Periods  of  Life. 


Al'olT.KXV    AND    I'AKALYSIS. 


1866. 
1807. 
18U8. 
1869. 
1870. 
1871. 
1872. 
1873. 
1874. 
l!-75. 
1870. 
1877. 
1878. 
1879. 
1880. 
1881. 
1882. 
1883., 
1S84. 
1S85., 
188G.. 
1887.. 
1888., 
1889., 
1890.. 
1891.. 
1892.. 
1893.. 
1894.. 
1895.. 
1890. . 
1897.. 
1898.. 


Total . 


155 


187 


11 
14 
11 
16 
7 
10 
13 
18 
11 
13 
15 
17 
19 
16 
24 
17 
13 
12 

359 


16 

6 
11 
12 
9 
14 
17 
14 
9 
19 
13 
12 
14 
18 
18 
20 
28 
19 
21 
25 
25 
26 
29 
36 
29 
24 
40 
45 
39 
39 
34 
37 
87 


9 

15 
16 
20 
12 
21 
20 
22 
30 
23 
25 
24 
41 
27 
21 
36 
41 
45 
32 
29 
52 
50 
61 
45 
52 
61 
60 
62 
88 
76 
76 
77 
75 

1,344 


24 

38 
27 
28 
33 
46 
26 
35 
39 
40 
43 
50 
40 
57 
59 
55 
57 
56 
68 
76 
65 
90 
85 
87 
84 
88 
91 
110 
108 
101 
118 
136 
108 

2,168 


95 

94  ] 
112  j 

96  I 
100  i 

92  I 
100 

90 

95 
108 
111 
106 
110 
144 
117 


7 
17 
16 
15 
20 
15 
11 
16 
25 
22 
23 
22 
26 
38 
34 
42 
38 
49 
45 
44 
51 
85 
60 
39 
50 
47 
49 
43 
65  I 
63  1. 
55  I 

..L 

54 


8,478  1.198 


29 


200  fokty-sixth  kegistratiok  repoet.  [1898. 

Appendicitis. 

From  a  greater  perfection  in  diagnosis  of  disease  of  the  abdom- 
inal viscera,  the  disease  known  as  appendicitis  has  received  greater 
attention.  This  was  probably  reported  in  previous  years  under 
the  head  of  diseases  of  the  bowels,  intussusception,  or  peritonitis. 

During  1898  there  were  45  cases  of  appendicitis  reported,  and 
of  this  number  operations  were  performed  in  24  cases. 

As  there  were  11  deaths  from  peritonitis,  in  1898,  this  would  rep- 
resent over  80  per  cent,  of  the  combined  numbers. 

Of  the  45  cases  of  appendicitis,  29  were  males,  and  16  were 
females.    Fifteen  were  of  native,  and  30  of  foreign  parentage. 

Brain  Diseases. 

The  number  of  decedents  from  diseases  of  the  brain  proper,  in 
1898,  was  327. 

This  number  represents  4.73  per  cent,  of  all  causes,  and  a  pro- 
portion of  .79  to  every  one  thousand  of  the  whole  ^ojndation. 

Of  the  327  decedents,  176  were  males,  and  151  were  females. 

In  regard  to  parentage,  131  were  of  native,  and  196  of  foreign 
parentage. 

The  deaths  in  the  different  seasons  of  the  year  were  as  follows : 

First  Quarter 88  Third  Quarter 83 

Second  Quarter 93  Fourth  Quarter 63 

First  half 181  Second  half 146 

Whole  year 337 

Brain  diseases  occur  largely  in  children.  Of  the  327  decedents 
from  those  causes,  in  1898,  133  were  under  5  years  of  age,  and  19 
were  from  5  to  10  years  of  age. 

The  following  Table  will  present  the  statistics  of  mortality  from 
diseases  of  the  brain,  for  thirty-three  years : 


1808. 


C'ACSrO.S    ()!■•    DKATn. 


201 


T.vi'.LK   LXV. 

Mortalitt/  in  Ihe  State  from  Bniin  DiseaneK,  with  the  Percentage,  Sex,  Parentage, 
and  Locality,  for  thirty-three  years,  from  1S6G  to  ISUS,  inclusice. 


.a 

1  1 

s  pq 

o 

0} 

SEX. 

PARENTAGE. 

DIVISIONS  OP  THE 

STATE. 

YEARS. 

i 

S 

1   v' 
> 

1 

s 
tifi 

'E  o 

ll 

u     ■ 

.Jo 

g 

It; 

ll 

£5 

e 
o 

c 
o 

a 
o 

"  . 

ll 

lSOG-1870  

465 
607 

150 
160 
143 
163 
164 

3.02 
2.95 

3.64 
8.59 
3.19 
3.65 
3.39 

249 
381 

92 

88 
75 
82 
87 

216 
276 

58 
72 
67 
81 
77 

274 
358 

89 
91 
76 
88 
89 

191 
249 

61 
69 
66 
75 
75 

21 
12 

8 
3 
1 
3 
3 

24 
82 

11 
7 
13 
13 
6 

84 
89 

7 
11 
12 
15 
12 

189 
167 

39 
49 
45 
51 
56 

222 
337 

85 
85 
68 
75 
81 

25 

1871-1875  

20 

1S76  

.5 

1S77 

5 

1878   

3 

1S79 

6 

1880 

6 

1876-1880  

779 

186 
181 
187 
148 
189 

3.49 

3.69 
3.50 
3.54 
2.88 
2.. 51 
3.44 

3.09 
3.81  1 
3.21 
3.58 
3.13 

424 

103 
93 

1   96 
90 

i   98 

355 

83 
88 
91 
58 
91 

483 

i   85 
92 
100 
77 
94 

346 

101 

89 
87' 
71 
95 

13 

7 
4 
8 
4 
2 

50 

11 
10 
14 
9 
11 

57 

14 
10 
15 
8 
20 

240 

58 
71 

41 
53 

394 

91 
80 
94 
83 
100 

25 

ISSl  

1SS~ 

6 

1883 

4 

1884 

3 

1885 

3 

1881-1885 

1880 

891 

182 
203 
212 
189 
217 

,  480 

108 
120 
114 
91 
113 

411 

74 

1 
83  I 

1 
98 

98 

104 

448 

'   84 
103 
109 
96 
119 

443 

98! 
100 
103 

93 

98 

25 

4 
8 
4 
5 
7 

55 

14 
9 
19 
12 
13 

67 

18 

14 
12 
17 
17 

275 

69 
75 
76 
72 
90 

448 

78 
95 
90 
78 
85 

21 
4 

1887 

1S88 

2 
11 

1S89 

5 

5 

1886-1890 

1891  

1,003 

222 
246 
257 
221 
258 

3.14 

3.36 
3.33 
3.46 
3.09 
3.42 

546 

135 
180 
139 
122 
123 

457 

87 
116 
118 

99 
135 

511 

108 
122 
116 
93 
126 

492 

114 
124 
141 
128 
132 

28 

8 
8 

12 
4 

14 

.  67 

19 
22 
17 
24 
25 

73 

19 
27 
23 
18 
22 

882 

93 
96 
100 
82 
81 

426 

78 
83 
98 
84 
105 

27 

5 

1892 

10 

1893 

7 

14 

1 895 

11 

1891-1895 

1,204 

299 

328 

327 

5.903 

8.83 

3.98 
4.61 
4.73 
8.41 

649 

152 

179 

176 

8,186 

555 

147 

149 

151 

2,717 

565 

186 

151 

181 

3,007 

639 

163 
177 
196  i 
2,896 

46 

10 

7 

5 

167 

107 

24 
26 
26 
411 

104 

38 

SO 

26 

468 

452 

139 

178 

157 

2,129 

448 

79 

78 

100 

2,532 

47 

1896 

9 

1897 

1808 

9 
13 

TuImI,  :«  years.. 

196 

♦  Exclusive  of  Providence  city. 


25 


202  forty-sixth  registration  report.  [1898. 

Bronchitis. 

The  number  of  decedents  in  1898,  whose  deaths  were  reported 
as  having-  been  caused  by  bronchitis,  was  236.  This  is  10  more 
than  in  1897. 

This  number  represents  3.42  per  cent,  of  all  causes,  and  a  pro- 
portion of  .57  to  every  one  thousand  of  '(hiQ  pop^ilation. 

Of  the  236  decedents,  109  were  males,  and  127  were  females ;  or 
at  the  rate  of  85  males  to  each  100  females. 

In  relation  to  parentage,  76  were  of  native,  and  160  of  foreign 
parentage. 

In  regard  to  age,  129  of  the  decedents  were  under  5  years  of  age, 
10  were  between  5  and  20  years,  7  between  20  and  40  years,  21  be- 
tween 40  and  60  years,  and  of  the  remaining  69  decedents  above 
60  years  of  age,  there  were  31  deaths  from  chronic  bronchitis. 

During  the  first  four  months  of  the  year  the  decedents  from 
bronchitis  numbered  115,  during  the  last  four  months  the  number 
was  66. 

The  very  large  increase  in  the  proportionate  mortality  from 
bronchitis,  during  the  last  twenty  years,  will  scarcely  fail  to  be 
noticed  in  Table  LXVI. 

The  following  Table  will  show  various  facts  in  relation  to  the 
mortality  from  bronchitis,  for  thirty -three  years : 


1898.1 


CAUSES    OF    D  EAT  FT. 


W.] 


TAliI.E   LXVI. 
Mortality  in  the  State  from  Bronchitis,  thirty-three  yvars,  I811G  to  1S98,  inclusive. 


'  i 

V 

Q 
0 

.0 
S 

3 

55 

a 

8 

u 

SEX. 

PABBNTAOB. 

DIVISIONS  OF  THE 

STATE 

YKAUS. 

CO 

0) 

"5 

i 

S 

> 

1 

1 

It 
•Co 

a  s 

4)  0 

MO 

n 

^8 

0 
c* 

2§ 

fl-O 

9 

a 
•0 

cuo 

B 
0 

^8 

1860-1870  

99 

.64 

43 

56 

47 

52 

1 

4 

7 

29 

.50 

2 

1871 

24 
25 
27 
30 
57 

.78 
.65 
.64 
.96 
1.39 

10 
10 
12 
22 
32 

14 
15 
15 
17 
25 

11 
11 
11 
12 
29 

18 
14 
16 
27 
28 

1 

1 

1 

1 
1 

1 

5 
0 

6 
21 

17 
16 
18 
32 
.33 



1872 

1873 

1 

1874 

1 

1875 

1 

2 

1871-1875 

172 

.84 

86 

86 

74 

98 

1 

2 

4 

45 

116 

4 

1876 

57 
09 
80 
02 
91 

1.46 
1.62 
1.89 
1.47 
1.86 

23 
.<}2 
30 
31 
49 

34 
37 
50 
31 
42 

26 
35 
37 
31 

44 

31 
34 
43 
31 

47 

1 
1 

1 
1 

1 
2 

1 
G 

1 

6 
5 
6 

22 
22 
21 
21 

46 
44 

48 
34 
50 

2 

1877 

1876  .' 

1 

1879 

1880 

1 

1870-1880 

359 

1.61 

165 

194 

173 

186 

4 

12 

18 

93 

228 

4 

1881 

84 

.87 

48 

36 

39 

45 

1 

1 

2 

25 

53 

.> 

188-^ 

100 

1.27 

39 

61 

47 

53 

3 

2 

6 

25 

60 

4 

1883 

111 

118 

2.10 
2.29 

56 

58 

55 
60 

51 
40 

60 

78 

5 
0 

2 

3 

8 

42 
42 

57 
62 

2 

1884 

1885 

108 

8.08 

82 

86 

91 

77 

5 

3 

13 

71 

76 

1881-1885 

581 

2.24 

283 

298 

268 

313 

20 

8 

32 

205 

308 

8 

1886 

174 
176 

2.96 
2.77 

75 
90 

99 
86 

81 
60 

93  i 
110 

8 
3 

4 

(i 

9 
19 

74 
63 

83 
84 

1 

1887 

1 

1888 

228 

3.45 

105 

123  i 

79 

149 

3 

4 

17 

110 

88 

6 

1889 

260 

275 

1,113 

4.20 
4.01 

128 
140 

132 
135 

90 
116 

170 
159 

4 
5 

8 
4 

18 
15 

109 
107 

110 
138 

11 

1890 

0 

1880-1890  

3.48 

538 

575 

426 

687 

18 

26 

78 

463 

503 

25 

1891 

247 

3.74 

108 

139 

95 

152 

13 

15 

21 

85 

111 

2 

1892 

308 

4.16 

147 

161 

117 

191 

5 

15 

21 

130 

130 

7 

1893 

315 

4.24 

164 

151  : 

105 

210 

4 

9 

21 

150 

126 

5 

1891 

254 

3.55 

112 

142  1 

82 

172 

4 

15 

11 

98 

120 

6 

1895 

274 

3.64 

138 

141  1 

1 

92 

182 

8 

15 

19 

103 

122 

7 

1891-1895 

1,398 

3.87 

004 

734 

491 

907 

34 

69 

93 

500 

009 

27 

1896 

m 

8.68 

143 

138 

101 

175 

8 

19 

9 

112 

110 

12 

1897 

220 

3.18 

123 

108 

88 

143 

G 

19 

13 

88 

94 

6 

1898 

236 

8.42 

109 

127 

76 

160 

1 

6 

14 

It 

67 

103 

15 

*  Bxclusive  of  Providence  city. 


204  F0RTY-SI:S;TH   EEGISTRATIOlSr   EEPORT.  [1898. 


Cancer. 

There  were  279  decedents,  in  1898,  wliose  deaths  were  caused  by 
cancer,  according  to  the  returns.  The  term  cancer  includes  all  the 
various  kinds,  and  in  whatever  place  located. 

This  number  represents  4.04  per  cent,  of  all  causes,  and  a  pro- 
portion of  .62  to  every  one  thousand  of  ihe po2Julation. 

The  varieties  of  cancer,  as  reported,  may  be  found  in  Tables 
VII  and  VIII,  on  pages  22,  23,  37,  and  38.  They  are  classed  in 
Table  IX  as  follows :  cancer  in  various  localities,  or  cancer  vari- 
ous, 46 ;  cancer  of  abdomen,  8 ;  of  the  breast,  32 ;  of  face,  8 ;  of 
the  liver,  36  ;  of  rectum,  14 ;  of  the  stomach,  64 ;  of  the  uterus,  71. 

In  1898  the  deaths  from  cancer,  in  the  several  divisions  of  the 
year,  were  as  follows  : 

First  Quarter 71       Third  Quarter 74 

Second  Quarter 64       Fourth  Quarter 70 

First  half 135       Second  half : . .  144 

Whole  year 279 

Seoe. — Of  the  279  decedents  from  cancer,  83  were  males,  and  196 
were  females  ;  or  30  males  and  70  females  in  every  100. 

Parentage. — There  were  159  of  native  parentage,  and  120  of 
foreign. 

The  following  Table  will  show  the  facts  of  mortality  from  can- 
cer, in  relation  to  sex,  parentage,  and  locality,  for  thirty-three 
years : 


1808.] 


CAUSES  or  i)i:.\T[r. 


205 


Table  LXVII. 

Mortality  in  the  State  from  Cancer,  186G  to  ISDS,  inclimve. 


0) 

Q 
o 

s 

1 

g 
o 

u 

SKX. 

PARENTAGE. 

DIVISIONS  OF 

THE 

5TATE. 

YEARS. 

i 

18. 

CO 

•a 

6 

> 

B 

1 

1^ 

4^ 

C  >• 

15 

Providence 
County.* 

e 

u 

s 

a 
o 

hi 

r.  yoari^.  18(;0-1870 

328 

2.13 

98 

230 

269 

1 

59 

19 

33 

38 

87 

131 

20 

1871 

60  2.13  : 
95   2.46 
100   2.53 

87  2.13  : 

25 
26 
45 
23 
24 

41 
69 
61 
64 
71 

47 
66 
76 
67 
62 

19 
29 
30 
20 
33 

4 
4 
4 
3 

7 
7 
6 
6 
6 

5 
9 
12 
12 
7 

25 
21 
32 
24 
25 

25 
50 
44 
38 
49 

4 

1872 

4 

1873  

8 

1874 

3 

1875 

95 

2.81 

5 

1871-1875 

449 

2.18 

143 

306 

318 

131 

15 

32 

45 

127 

206 

24 

1870 

106 
135 

2.72 
3  17 

27 
29 
38 
39 
45 

79 
106 
81 
86 
80 

72 

87 
79 
70 
73 

34 
48 
40 
55 
52 

5 
3 

i    5 
9 
5 

6 

11 
6 
10 

8 
9 
8 
9 
12 

27 
37 
37 

28 
20 

53 

66 
48 
66 
68 

7 

1877 

13 

1878 

119  2.82 
125  1  2.96 
125  2.72 

10 

1879 

7 

1880 

4 

1870-1880 

610  2.73 

178 

432 

381 

229 

27 

40 

46 

155 

301 

41 

1881 

145  1  2.90 

40 

105 

90 

55 

8 

10 

12 

42 

05 

8 

1882 

132  2.75 

40 

92 

82 

50 

5 

15 

9 

43 

52 

8 

1883 

169  1  3.20 

51 

118 

105 

04 

3 

17 

12 

49 

86 

2 

1884 

150   3.05  j 

39 

117 

88 

68 

2 

18 

21 

41 

70 

4 

1885 

193  ,  3.59  1 
795  1  8.07  1 

52 

141 

114 

79 

8 

9 

8 

67 
242 

88 
301 

13 

222 

578 

4T9 

316 

26 

69 

02 

35 

1880 

162   2.77 

42 

120 

75 

87 

6 

11 

9 

37 

87 

12 

1887 

l.-JO   2.50 

49 

110 

96 

63 

8 

5 

10 

49 

80 

< 

1888 

193   2.93 
189  1  3.03 
165  i  2.41 
868   2.71 

07 
65 
56 

126 
124 
109 

128 
104 
92 

65 
85 
73 

9 
4 
14 

10 
10 
10 

12 
13 
13 

57 
57 
46 

68 
82 
74 

17 

23 

1890 

8 

1880-1890 

279 
48 
63 
54 
67 

589 
129 
128 
151 
147 

495 
104 
108 
124 
121 

373 
73 
78 
81 
93 

41 
8 
7 
6 

13 

46 

11 
16 
15 
11 

57 
15 
16 
17 
23 

246 
46 
57 
56 
75 

411 
83 
75 
92 
78 

07 

1891 

177 
181 

2.67 
2.45 

14 

1892 

10 

1893  

205  2.75 
214  2.99 

19 

1894 

19 

1865 

234   3.11 
1,011  2.79 
226  1  8.01 
2.54  3.57 
279  1  4.04 

74 

160 

106 

128 

13 

1 

47 

6 
12 
18 

12 
05 
21 
14 
18 

17 
88 
12 
22 
21 

79 

96 
419 

89 
103 
119 

17 

1801-1895  

290 
61 

77 
88 

715 
165 
177 
196 

558 
117 
128 
169 

463 
109 
120 
120 

313 
81 
86 
75 

70 

1890 

17 

17 

1898 

25 

•  Exclusive  of  Providence  city. 


206  forty-sixth  registration  report.  [l8l:>8. 

Child-Birth. 

Under  the  head  of  "  Child-birth  "  are  included,  in  this  connec- 
tion, puerperal  convulsions,  and  whatever  causes  of  death  that 
may  have  occurred  as  the  direct  result  of  child-birth,  or  parturi- 
tion. 

The  number  reported  in  1898  was  71,  25  of  which  were  from  the 
immediate  effects  of  child-birth,  including-  metritis,  hemorrhage, 
rupture  of  uterus,  etc. ;  10  from  peritonitis  ;  14  from  puerperal 
nephritis  and  convulsions  ;  22  from  puerperal  fever  or  septicaemia. 

Of  the  whole  number,  22  were  of  native,  and  49  of  foreign  pa- 
rentage. 

This  number  represents  1.03  per  cent,  of  all  causes,  and  a  pro- 
portion of  .17  to  every  one  thousand  of  ihe population. 

There  were  14  more  deaths  from  "child-birth"  in  1898  than  in 
1897. 

The  following  Table  will  present  the  various  relations  in  regard 
to  the  mortality  from  child-birth,  for  thirty-three  years,  1866-1898  : 


isos.] 


CAirSKS    ()V    DKATH, 


207 


Table  LXVIII. 

MortnUlij  ill  the  Stale  from  ChiUl-Birth,  with  the  Percenturje  of  the  Whole  Number 
of  Deaths,  Parentage,  and  Loculitri ,  for  thirty-three  yearn, 
from  1S6G  to  ISDS,  iuclusirc. 


YKARS. 


PS 

ES 


1800-1870. 
1871-1875. 


1876 

1877 

1878 

1879 

1880 

1876-1880. 


1881 

1882 

1883 

1884 

1885 

1881-1885. 


1886 

1887 

1888 

1889 

1890 

1886-1890. 

1891 

1892 

1893 

1894 

1895 

1891-1895. 


1890. 


1807 


1898 

Total,  33  years. 


155 
245 

48 
46 
43 
43 


1.01 
1.19 

1.24 
1.09 
1.01 
1.02 


51  j  1.11 
231  I  1.04 


CO 
50 
58 
47 
47 
262 

41 
53 
51 
41 
41 


274 

32 
75 
57 
72 
55 


291 

50 

57 

71 

1.636 


1.28 
1.03 
1.10 
.91 
.87 
1.04 

.70 
.71 
.77 
65 
.58 
.86 

.35 
1.01 

.76 
1.01 

.73 


1.03 
.94 


1         1 

PARENTAGE.' 

i 

> 

So 
"53 

s 

1 

j   62 

93 

111 

134 

21 

27 

1!    IS 

28 

23 

20 

21 

22 

23 

28 

106 

125 

26 

34 

18 

32 

f 

26 

32 

17 

30 

;  21 

26 

j  108 

154 

1   17 

24 

i   15 

38 

:   13 

38 

'   14 

27 

12 

29 

92 

182 

8 

24 

29 

46 

23 

34 

15 

57 

16 

39 

91 

200 

16 

34 

18 

39 

23 

49 

626 

1,010 

DIVISIONS  OF  THE  STATE. 


"E  o 


*^  a 

C  3 
(U  o 


of? 

15 


3 

4 

4 

24 

3 

1 

9 

5 

8 

3 

1 

88 

2 

6 
130 


o  5 


90 

24 

21 

28 

543 


>o 


56 

no 

23 
17 
21 
23 
27 
111 

29 


125 


12 


17 

26 

I 

20  '  3 

13  4 

_J7_' 3 

117  i  12 

I 

iq   I  •> 
19   J 

29  !  9 

29  4 
32  4 

30  4 


139  I        23 

17  6 

22  4 


32 
729 


3 
101 


♦  Exclusive  of  Providence  city. 


208  FOETY-SIXTH    REGISTRATION"    REPORT.  [1898. 


Cholera  Infantum. 

The  number  of  deaths  from  cholera  infantum,  according-  to  the 
returns  for  1898,  was  468. 

This  number  represents  6.78  per  cent,  of  deaths  from  all  causes, 
and  a  proportion  of  1.13  to  every  one  thousand  of  ^e population. 

Of  the  468  decedents,  240  were  males,  and  228  were  females. 

Of  parentag-e,  163  were  of  native,  and  305  of  foreign  parentage ; 
or  about  187  of  foreig"u  to  every  100  of  native  parentag-e. 

The  mortality  from  cholera  infantum,  during-  1898,  was  .80  per 
cent,  g-reater  than  during-  the  year  1897. 

As  may  be  seen  on  the  following-  pag-e,  the  number  of  decedents 
from  cholera  infantum,  during  the  thirty-three  years  from  1866  to 
1898,  inclusive,  was  11,065. 

The  proportion  to  total  mortality,  for  the  period  of  thirty-three 
years,  was  6.3  per  cent.  For  1892  the  proportion  was  8.6  per 
cent. ;  for  1893,  8.1  per  cent. ;  for  1894,  6.9  per  cent. ;  for  1895,  Q.Q 
per  cent. ;  for  1896,  7.3  per  cent. ;  for  1897,  5.9  per  cent. ;  and  for 
1898,  6.7  per  cent. 

There  were  105  males  to  every  100  females  among  the  decedents 
during  the  thirty-three  years ;  and  187  decedents  of  foreign  pa- 
rentage to  every  100  of  native,  during  the  same  period. 

The  following  Table  shows  the  whole  number  of  reported  deaths 
from  cholera  infantum  ;  the  sex  and  parentage  of  the  decedents  ; 
and  the  number  in  each  of  the  larger  divisions  of  the  State,  in 
each  of  the  last  thirty-three  years  : 


1898.] 


CAUSES   OF   DEATH. 


209 


Table  LXIX. 

Mortnlitji  in  the  State  from   Cholera  Tnfdntum,   ISGG  to  1S9S,  inclusire. 


i 

o 

b 

E 

3 

a 

SEX. 

PARENTAGE. 

1 

DIVI8IONB  OF  THE 

STATE. 

YEARS. 

1 
I 

1  '  00* 

1  a 

403 
85 
195 
148 
140 
156 

8 
73 

a 

842 

87 
196 
137 
125 
162 

1 

1 

'u.  C 

39 
14 
16 
17 
4 
20 

>> 

ll 

44 
12 
16 
14 

12 
16 

n 

46 
12 
21 
16 
5 
20 

£0 

0 

a 
•a 

tt 
324 

62 
151 

99 
184 
186 

C 

5  years.  186G-18T0 

1871 

1872 

1873 

7-15 
172 
391 
285 
265 
318 

4.84 
4.82 
S.71 
6.19 
5.86 
6.97 

852 
82 
167 
165 
115 
155 

893 
90 
224 
120 
150 
163 

245 
59 
157 
120 

84 
108 

47 
13 
80 
19 

1874 

26 

1875 

IK 

1871-1875 

1,431 
250 
259 

168 

6.97 
5.75 
5.52 
3.58 

!  724 
131 
139 
96 

i   88 
i  123 

707 
119 
120 
72 
73 
124 

684 
105 
96 
73 
71 
109 

747 
145 
163 
95 
90 
138 

71 
5 

12 
7 
8 

13 

TO 
12 
13 
14 
16 
11 

74 
29 
9 
7 
21 
10 

528 
68 
96 
64 
51 
93 

582 
124 
122 
71 
59 
100 

106 

1876 

12 

1877 

1878 

.«; 

1879 

161  !  3.43 

247   5.12 

1,085  4.86 

6 

1880 

20 

1876-1880 

577 
130 
173 
124 
177 
150 
754 
179 
200 
239 
209 
282 

508 
110 
152 
118 
148 
129 

454 
102 
133 
104 
139 
128 

631 
138 
192 
138 
186 
1.51 
805 
234 
210 
283 
264 
880 

45 

10 
20 
12 
10 
5 

66 
22 
11 
7 
12 
2:i 

76 
14 
19 
22 
26 
16 

372 
75 

132 
88 

114 

133 

476 
102 
130 
108 
144 
86 

50 

1881 

240 
325 
242 
325 
279 

4.54 
6.10 
4.37 
6.00 
4.02 

17 

1882 

13 

1883 

5 

1884 

19 

18a'5 

16 

1881-1885  

1,411 
377 
855 
467 
396 

5.45 
6.14 
5.36 
6.78 
fi  ni 

657 
198 
155 
228 
187 
300 

606 
143 
145 
184 
182 
202 
806 
170 
210 
186 
162 
155 

57 
4 
16 
18 
18 
19 

75 
29 
16 
35 
82 
57 

97 
15 
35 
28 
20 
88 

542 
194 
160 
219 
199 
245 

570 
120 
119 
149 
116 
209 
718 
137 
201 
183 
180 
150 
801 
148  , 
120  i 
144  1 
8,878 

70 

1886 

15 

1887 

1886 

1889 

9 
18 
11 

1890 

582  8.01 

19 

1886-1890 

2,177 
546 

63;^ 

603 
496 
500 

6.81 
8.25 
8.56 
8.10 
6.93 
6.64 
7.. 55 
7.26 
5.98 
6.78 
6.. 37 

1.109 
298 
336 
324 
248 
268 

1,469 
313 
204 
240 

5,793 

1,068 
248 
297 
279 
258 
238  1 

1,309 

211  i 

228 

5.272  ' 

1,871 
876 
423 
417 
884 
845 

75 
21 
18 
11 
18 
14 
77 
5 
12 
14 
395 

169 

68 
77 

82 

1 

76  ' 

57 
3(iO 

62 

63 

62 
971  ^ 

131 
50 
43 
44 

25 

19 
181 

38 

30 

28 
701  1 

1,017 
255 
281 
267 
225 
241 

1,269 

«r 

179 

211 

4,640  j 

72 

1891 

15 

189a 

18 

1898 

16 

1894 

27 

1895 

19 

1891-1895 

2.778 
545 
425 
468 

11,065 

883 
165 
160 
163 
4.278 

1,895 
380 
265 
805 

6,792 

90 

1896 

15 

1897 

21 

1898 

9 

Total,  33  years.. 

480 

'  Not  including  Providence  city. 


210  fokty-sixth  registration  report.  [1898. 

Consumption. 

The  decedents  from  consumption,  dnring-  1898,  numbered  886. 
The  number  is  109  more  than  in  the  preceding-  year. 

This  number  represents  12.83  per  cent,  of  all  causes,  and  a  pro- 
portion of  2.14  to  every  one  thousand  of  ih.e population. 

Sex.—Oi  these  886  decedents,  460  were  males,  and  426  were 
females ;  being-  about  93  female  decedents  to  every  100  male  de- 
cedents. 

For  the  period  of  twenty  years  (1866-1885)  there  were  nearly 
124  females  to  every  100  male  decedents  from  consumption,  and  a 
very  considerable  excess  every  year  since,  excepting  in  1890,  1891, 
1893,  1897,  and  1898. 

Parentage. — There  were  272  decedents  of  native  parentag-e,  and 
614  of  foreig-n ;  a  proportion  of  226  of  foreign  parentage  to  every 
100  of  native. 

Season. — The  largest  number  of  deaths,  87,  occurred  each  in 
March  and  May ;  the  next  largest,  86,  in  November ;  the  smallest, 
60,  in  October. 

The  number  in  each  quarter  of  the  year  was  as  follows  : 

First  Quarter 226        Third  Quarter . .  211 

Second  Quarter 230       Fourth  Quarter 219 

First  half 456       Second  half 430 

Whole  year 886 

Ages. — During  1898,  of  the  886  decedents  from  consumption, 
254  were  between  the  ages  of  20  and  30;  and  179,  or  over  one 
quarter,  were  between  the  ages  of  30  and  40. 

In  order  to  show  more  concisely  the  relation  of  age  to  mortality 
from  consumption,  during  1898,  the  following  age  periods  and 
numbers  are  presented : 

Under  10  years  of  age 110 

Between  10  and  20  years 80 

Between  20  and  30  years 254 

Between  30  and  40  yeai's 1T9 

Between  40  and  50  years 115 

Between  50  and  70  years 123 

Over  70  years 26 

Total , , ,.,..,,..........,,.,, 88(i 


1898.]  cArsKs  ()!•  dkatii.  '^11 

TllO  followilii;'  'r;il)I(>  sliows  tlio  totill  (Icatlis  from  ;ill  icportcil 
Jkihnrii  cif list's,  witli  tlie  iiiiiiihiT  i\,\n\  jxrcinldt/r  of  (l(>;it,]is  from  con- 
sumi)ti(Mi  of  tlio  siime,  in  each  of  the  hii-f,''e  divisions  of  the  St;it(i, 
juid  ill  tlic  whole  State,  'm  each  of  the  lant  Hcrentee.n  ycurs,  aiul  also 
th((  ao-o'iv^ate  for  a  ]iorio(l  of  thirty  years,  from  IHCl  tr)  1S!)(),  in- 
clusive : 


CONSUMPTION. 


STATISTICS     BY     COUNTIES 


NUMBER    AND    PERCENTAGE, 


THIRTY-EIGHT    YEARS. 


214 


FORTY-SIXTH    REGISTRATION   REPORT. 


[1898. 


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ISOS.] 


(/'AUSKS    OF    DKATM, 


215 


•:;     •»     r; 


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P 
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o 
o 

I 

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2t6 


FOSiTY-SIXTH    REGISTRATION    REPORT, 


[1898. 


Table  LXXI. 

Mortality  in  the  State  from  Consumption,  with  the  Percentage  of  the  Whole  Number 

of  Deaths,  from  all  causes,  and  the  Sex,  Parentage,  and  Locality, 

in  the  Aggregate  of  Different  Periods,  1866-1S98. 


a 
o 
o 

a 

o    . 

.2 

si 

o 

a 
o 

.SEX. 

1 

1  PARENTAGE. 

1 

DIVISIONS   OF  THE   STATE. 

YEARS. 

1,244 

1,267 

1,435 

1,692 

382 
312 
391 
356 
422 

S 

1 

Is 

i 

t4 

a 

o 
o 

o 

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a 
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a 
m 
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'> 

1 

O 

o 
a 

o 

a 

o 
O 
a 
o 

-a 
.s 

to 

1866-1870  

2,718 

2,883 

3,271 

3,729 

826 
710 
800 
727 

852 

17  66 

14.03 

14.66 

14.40 

14.12 
11.19 
12.13 
11.61 
12.29 

1,474 

1,616 

1,836 

2,037 

444 
398 
409 
371 
430 

1,567 

1,504 

1,473 

1,427 

308 
266 
284 
239 
280 

1,151 

1,379 

1,798 

2,302 

518 
444 
516 

488 
572 

122 

94 

104 

113 

23 
20 
28 
20 
31 

231 
213 
194 

208 

43 
34 

55 
45 
38 

219 
163 

188 

242 

57 
41 
32 
37 
51 

891 

953 

1,048 

1,222 

276 
246 
,  273 
267 
305 

1,051 

1,234 

1,498 

1,751 

368 
823 
862 
315 
394 

204 

1871-1875  

226 

1876-1880 

239 

1881-1885 

193 

1886 

1887 

59 
46 

1888 

50 

1689 

53 

1890 

33 

1886-1890 

3,915 

740 
759 
722 
705 
839 

12.24 

11.18 
10.26 
9.72 
9.85 
11.13 

1,863 

380 
360 
364 
337 
392 

2,052 

360 
399 
358 
368 
447 

1,377 

248 
249 
230 
214 
284 

2,538 

492 
510 
492 
491 
555 

122 

17 
29 
18 
10 
29 

215 

47 
51 
55 
46 
54 

218 

51 
45 
35 
46 
59 

1,357 

236 
265 
259 
242 
271 

1,762 

347 
342 
328 
325 
304 

241 

1891 

42 

1892 

27 

1893 

27 

1894 

36 

1895 

32 

1891-1895 

3,765 

846 

777 
886 

22,790 

10.41 

11.27 
10.93 

12.83 

13.11 

1,833 

409 
395 
460 

10,598 

1,932 

437 
382 
426 

12,192 

1,225 

273 
269 

272 

9,387 

2,540 

573 
508 
614 

13,403 

103 

27 
13 
29 

727 

253 

59 
55 
54 

1,482 

236 

66 
55 
60 

1,447 

1,273 

292 
283 
307 

7,626 

1,736 

367 
341 
405 

10,145 

174 

1896 

35 

1897 

80 

1898 

31 

Total,  33  years.. 

1,363 

*  Exclusive  of  Providence  city. 


1808.] 


r'AUSKS    OF    DKATH. 


2]  7 


Consumption.    Proport'inu  <>f  Jhdths  to  pDjxihd'nn,. 

The  proportion  of  deaths  from  coiisuinptioii  to  the  jK>j>ii/ati<jii 
ill  tlie  different  localities  in  the  State,  during-  the  last  thirteen 
years,  may  be  seen  in  the  following-  summaries : 


For  five  years,   ISSG  to  JSUO,  iucliisire. 

Persons, 
One  Death  to  every 

Bristol  County 494 or. 

Kent  County 569 or. 

Newport  County 708 or. , 

Providence  County* 598 or. 

Providence  city 3.56 or. 

Washington  County 497 or. 

Wliole  State .420 or. 


in  every  1,000 
of  Population. 


.2.09 
.1.85 
.1.48 
.1.91 
.2.82 
.2.10 
2.40 


Fo)'  five  i/cais,  1S91  to  IS05,  inclusive. 

Persons, 
One  Death  to  every 


Bristol  County 671. 

Kent  County 577. 

Newport  County G47. 

Providence  County* 537. 

Providence  City 413. 

Washington  County 700. 

Whole  State 497. 


In  every  1,000 
of  Population. 


.1.74 
.1.73 
.1.58 
.1.91 


.1.34 
.2.02 


1S06. 


I'ersons, 
One  Death  to  every 

Bristol  County 456 or 

Kent  County 526 or 

Newport  County 474 or 

Providence  County  Towns 457 or 

Central  Falls 000 or 

Pawtucliet 013 or 

Providence  city .• 404 : or 

Woonsocket 4,55 or 

Washington  county 713 or 

Whole  State 406 or 


In  every  1,000 
of  Population. 

2.19 

1.90 

2.11 

2.19 

1.05 

1.6;J 

2.47 

2.12 

1.40 

2.15 


*  Kxclusive  of  Providence  citv. 


218 


FORTY-SIXTH    REGISTRATION    REPORT. 


[1898. 


1897. 

Persons, 
One  Death  to  every 

Bristol  County 954 

Kent  County 583 

Newport  County 5T3 

Providence  County  Towns 583 

Central  Falls 938 

Pawtucket 562 

Providence  City 444 

Woonsocket 482 

Washington  County 840 

Whole  State 519 


In  every  1,000 
of  Population. 

1.05 

1.71 

1.74 

3.04 

1.07 

1.78 

S.25 

3.08 

1.19 

1.93 


1S9S. 

Persons, 
One  Death  to  every 

Bristol  County 486 

Kent  County 613 

Newport  County 530 

Providence  County  Towns 539 

Central  Falls 602 

Pawtucket 508 

Providence  City 381 

Woonsocket .400 

Washington  County 820 

Whole  State 468 


In  every  1,000 
of  Population. 

3.06 

1.63 

1.89 

1.85 

1.66 

1.97 

2.62 

3. .50 

1.23 

3.14 


There  was  an  increase  in  the  mortality  from  consumption,  in 
1898,  as  compared  with  the  preceding-  year,  not  only  in  numbers, 
but  also  in  proportion  to  the  population. 


1898.  I  CAUSKS    OF    DEATH.  ^il'.t 

Choup. 

There  were  9  decedents  from  croup,  in  1S1)8,  as  aj^ainst  17  in 
1897. 

Sex. — Of  the  9  decedents  from  croui),  in  1898,  there  were  4 
males  and  5  females,  a  proportion  of  80  males  to  each  100  fe- 
males. 

Parentage. — There  were  3  decedents  of  native  parentage,  and 
G  of  foreign  parentage.  The  proportions  were  in  the  ratio  of 
200  of  foreign  to  each  100  of  native  parentage. 

Age. — There  were  4  of  the  decedents  under  1  year  of  age,  4  of 
1  year  and  under  2,  and  1  between  5  and  10. 

Season. — 

First  Quarter 4  Third  Quarter 1 

Second  Quarter 3  Fourtli  Quarter 1 

First  half 7  Second  half 2 

Whole  year 9 

The  following  Table  will  exhibit  various  facts  in  relation  to 
mortality  from  croup  for  thirty-three  years  : 


220 


FORTY-SIXTH    EEGISTRATION    REPORT. 


[1898. 


Table  LXXII. 

Mortality  in  the  State  from  Croup,  from  1866  to  1S9S,  inclusive. 


J3 
cS 

a> 
P 

o 

V 

S 

a 

ID 

o 

'  SEX. 

PARENTAGE. 

DIVISIONS  OF 

THE  STATE. 

YEARS. 

g 

> 

0 

o 

'S  o 
pqo 

a  3 
Ma 

o  >. 
tzio 

o 
c* 

o 
C 
CD 

d 

3 

&J0  . 

B  >> 

1866  1870  

237 
367 

102 
95 
93 
96 
66 

1.47 
1.79 

2.61 
2.23 
2.20 

2.28 
1.45 

113 
198 

50 
48 
45 
58 
33 

115 
169 

53 
47 
48 
38 
34 

96 
164 

42 
34 
43 
40 

27 

131 
203 

60 
61 
50 
56 
39 

6 
13 

1 
4 
14 
3 
3 

13 
80 

6 

3 
3 
6 
3 

19 
^  13 

1 

15 
4 

82 
131 

26 
47 
25 
25 
20 

99 
169 

65 
40 
39 
43 
30 

8 

1871  1875  

11 

1876 

4 

1877   

1878 

5 

1879  

4 

1880 

6 

1876  1880  

453 

101 

77, 
71 
80 
94 

2.03 

2.16 
1.60 
1.40 
1.55 
1.74 

333 

45 
41 
33 
40 
45 

219 

56 
36 
39 
40 
49 

186 

38 
33 
33 
32 
42 

266 

63 
45 
38 
48 
52 

25 

2 
1 
1 
2 

4 

21 

6 
2 
6 
11 

8 

27 

4 
6 
4 
4 
6 

143 

38 
33 
25 
29 
46 

317 

49 
33 
35 
34 

28 

19 

1881 

2 

1883  

3 

1883 

1884 

1885 

2 

1881-1885  

423 

90 
113 
79 
80 
83 

1.63 

1.53 
1.79 
1.19 
1.38 
1.19 

203 

45 
58 
43 
37 
53 

220 

45 
55 
36 
43 
30 

177 

39 
43 
34 
24 
28 

'  246 

51 
70 
45 
56 
55 

10 

2 

9 
4 
3 

2 

33 

18 
13 
2 
15 
14 

34 

12 
4 

7 
1 
2 

171 

34 
43 
34 

27 
32 

178 

32 
39 
27 
33 
31 

7 

1886  

2 

1887 

1888 

6 
5 

1889 

1 

1890 

3 

1886-1890. ....... 

1891 

1892   

415 

67 
89 
50 
32 
30 

1.39 

1.46 

1.20 

.67 

.45 

.40 

236 

40 
52 
39 
16 
14 

209 

27 
37 
21 
16 
16 

168 

17 
44 
13 
10 
9 

277 

50 
45 
37 
22 
21 

20 

1 
1 
4 
1 

61 

11 
10 
11 

7 
6 

26 

11 

21 
3 
2 
4 

160 

27 
21 
25 
15 
11 

162 

16 
33 

7 
9 

16 

1 
3 

1893 

1894 

1895 

1891  1895  

268 

24 

17 

9 

2,232 

.84 

.32 
.24 
.13 

1.28 

151 

16 

11 

4 

1,164 

117 

8 

6 

5 

1,068 

93 

5 

4 

3 

896 

175 

19 

13 

6 

1,336 

7 
81 

45 

4 

8 

2 

217 

41 
150 

99 

12 

5 

4 

807 

72 

'  8 
4 
2 

911 

4 

1896 

1897 

1898  

1 

Total,  33  years. 

66 

*  Exclusive  of  Providence  city. 


IS'.IS.  I  CArSHS    OK    DKATll.  22l 

DlAURTKEA   AN' I)   DYSENTERY. 

There  were  5)8  decedents  from  diarrhtjea  and  dysentery,  in  18'.)8. 
This  number  rei)resents  1.4  per  cent,  of  all  causes,  and  a  pro- 
portion of  .24  to  every  1,000  of  the  population. 

/Sex. — Of  the  08,  53  were  males,  and  45  were  females,  or  a  pro- 
portion of  118  males  to  every  100  females. 

Parei\taxie. — There  were,  of  the  98  decedents,  33  of  native  par- 
entage, and  65  of  foreign  parentage,  or  a  proportion  of  al)out  1*.)7 
of  foreign  parentage  to  every  100  of  native. 

Age. — There  Avere  35  of  the  decedents  from  diarrh(pa  and  dys- 
entery under  5  years  of  age,  aud  there  were  51  over  50  years  of 
age,  leaving  12  for  all  the  45  years  between  5  and  50. 

Locality. — Of  the  98  decedents,  72  were  in  Providence  county, 
and  5  in  Newport  county ;  2  were  reported  from  Bristol  county, 
14  from  Kent  county,  and  5  from  Washington  county. 

Seaso7i. — Fifty-nine  of  the  deaths  from  diarrhoea  and  dysentery 
occurred  during  the  months  of  July,  August,  and  September. 

The  decrease  in  mortality  from  diarrhoea  and  dysentery,  in  1898, 
compared  with  the  previous  year,  was  al)out  8  per  cent. 

The  following  Table  Avill  show  the  deaths  from  diarrhoea  and 
dysentery,  with  the  percentage,  sex,  parentage,  etc.,  for  each  of 
33  years,  beginning  with  18G6 : 


222 


FORTY-SIXTH    REGISTRATION    REPORT. 


[1898. 


Table  LXXIII. 

Mortality  in  the  State  from  Diarrhma  and  Dysentery,  1866  to  189S,  inclusim. 


.a 

o 
S 
S 
|2i 

0) 

o 

u 
ID 
PL, 

SEX. 

PARENTAGE. 

DIVISIONS  OF  THE 

STATE. 

YEARS. 

« 

"S 
^ 

IS 

"3 
S 
P 

> 

.2  pi 

!-  O 

<S   o 

Mo 

o 
n* 

'OS 

o 
q 
m 

£"5 

a 
o 

be 

^6 

5  years,  1866-1870 
1871  1875 

677 

580 

123 
142 
93 
97 
98 

4.40 

2.60 

2.96 
3.19 
2.09 
2.17 
2.03 

353 

317 

66 
64 
42 
48 
49 

324 

263 

56 
78 
51 
49 
49 

333 

305 

52 
73 
51 
47 
50 

354 

275 

70 
69 
42 
50 
48 

36 

27 

3 

8 
5 
9 
4 

46 

46 

6 
6 
8 
6 
6 

89 

23 

3 
9 
3 
10 
10 

215 

183 

41 
54 
34 
27 
32 

254 

289 

65 
55 
39 
43 
43 

47 
12 

1876 

5 

1877 

10 

1878 

5 

1879 

3 

1880 

4 

1876-1880 

1881 

553 

119 
158 
■  183 
153 
130 

3.47 

2.37 
3.11 
3.45 
3.98 
3.23 

269 

56 

75 
86 
74 
61 

283 

63 
83 
96 

79 
59 

273 

54 
69 
88 
69 
51 

279 

65 
89 
94 
84 
69 

29 
2 

7 
10 

7 

32 

4 
4 
7 
5 
6 

33 

3 

38 
16 
11 
6 

188 

47 
57 
74 
66 
62 

243 

57 
64 
75 
56 
35 

6 

1882 

3 

1883 

3 

1884 

5 

1885 

4 

1881-1885 

1886 

732 

159 
199 
157 
159 
182 

2.89 

2.72 
3.11 
2.31 
2.54 
2.62 

352 

64 
107 
69 
73 
84 

380 

95 
92 
88 
86 
98 
459 

74 
99 
80 
63 
63 

331 

70 
70 
97 
67 
74 

401 

89 
129 
60 
92 
108 

28 

7 
6 
6 
1 
5 

26 

11 
16 

8 
12 
9 

64 

1 

4 

3 

17 

32 

306 

73 

93 
54 
71 

77 

287 

59 
72 
71 
50 
63 
315 

58 
89 
66 
43 

37 

21 

8 

1887 

9 

1888 

15 

1889 

8 

1890 

6 

1886-1890  

856 

143 
199 
159 
124 
101 

2.68 

2.16 
2.69 
2.14 
1.73 
1.34 

397 

69 
100 
79 
61 
38 

378 

51 
82 
56 
36 
40 

478 

92 

117 
103 
88 
61 

25 

4 
6 
5 

6 

56 

15 
14 
14 
8 
9 

47 

13 
8 
7 
4 
3 

367 

48 
76 
60 
59 
41 

46 

1891 

5 

1892 

6 

1893 

7 

1894 

10 

1895 

5 

1891-1895 

726 

89 
107 
98 

4,417 

2.01 

1.18 
1.50 
1.42 

2.54 

347 

49 
48 
53 

3,185 

379 

40 
59 
45 

2,332 

1 

265 

40 
37 
33 

1,985 

461 

49 
70 
65 

2,433 

21 

2 

1 
3 

161 

60 

5 

14 
14 

299 

35 

8 
7 
5 

311 

284 

39 
41 
32 

1,655 

293 

28 
36 
40 

1,785 

33 

1896 

^ 

1897 

8 

1898 

5 

Total,  33  years.. 

206 

*  Exclusive  of  Providence  city. 


1808.]  CAL'SKS    01-    DKATII.  223 

DirilTllEKIA. 

Tlie  munlx'v  of  deatlis  from  diplitlieria,  in  1808,  wuh  03,  which 
wiis  138  less  than  in  1807,  or  a  decrease  of  al)out  GO  per  cent. 

This  number  represents  1.35  per  cent,  of  all  causes,  or  a  propor- 
tion of  .22  to  every  one  thousand  of  the  population. 

/Se,v. — Of  the  i)3  decedents,  TjI  were  males,  and  42  were  females. 

Pxreiittuje. — There  were  34  of  native,  and  .50  of  foreign  parent- 
acfe,  or  a  pvojiortion  of  about  173  of  foreign  parentage  to  every 
100  of  native. 

Season. — There  were  30  deaths  from  diphtheria  in  the  first  quar- 
ter, 24  in  the  second  (juarter,  7  in  the  third  quarter,  and  32  in  the 
fourth  (piarter. 

Age. — There  were  64  deaths  under  5  years  of  age,  25  between 
5  and  10,  2  between  10  and  15,  1  between  15  and  20,  and  1  above 
20  years  of  age. 

Loadifi/. — Of  the  93  decedents,  72  were  in  Providence  county, 
none  in  Bristol  county,  12  in  Kent  county,  5  in  NeM'port  county, 
and  4  in  Washington  county. 

The  following  Table  shows  the  mortality  in  the  State  from 
diphtheria  for  thirty-three  years,  beginning  with  1866,  also  the 
percentage  of  deaths,  the  sex,  parentage,  etc. : 


224 


PORTY-SIXTH    EECtISTRATION    REPORT. 


[1898. 


Table  LXXIV. 

Mortality  in  the  State  from  Diplitheria,  1S66  to  1898. 


P 

So 

c 
o 

SEX. 

PAKENTAGE. 

1 

DIVISIONS    OF   THE    STATE. 

YEARS. 

to 

s 

0) 

> 

OS 

'A 

a 

'S 
o 

<»  o 

Mo 

o  >. 

IS 

c* 

>  s 
£8 

c 
-a 

So 

a 
o 

tt.  : 

1866-1870. 

1871-1875. 

1876 

1877 

1878 

1879 

1880 

15,391 

20,540 

4,116 
4,450 
4,441 
4,472 
4,829 

181 

242 

159 
493 
435 
259 
152 

1.18 

1.18 

3.86 
11.56 
9.80 
5.79 
3.40 

83 
118 

77 
239 
224 
121 

73 

98 

-      1 
124 

82 
253 
211 
138 

79 

103 

154 

69 

233 

.  201 

143 

75 

78 

88 

90 
259 
234 
116 

77 

5 

4 

1 

12 
21 

7 

3 

28 
35 

2 

44 

29 

19 

6 

30 

20 

9 
2 
23 
20 
2 

40 

54 

29 

1^ 

106 

95 

63 

44 

105 

111 
295 
245 
106 
61 

34 

24 

7 
17 
11 
12 
17 

1876-1880. 

1881 

1882 

1883 

1884 

1885 

22,308 

5,016 
5,074 
5,282 
5,141 
5,389 

1,497 

216 
101 

95 
119 

99 

6.71 

4.63 
1.99 
1.88 
2.31 
1.88 

734 

106 
48 
39 
65 
47 

763 

110  1 
53 
56  1 
54 
52 

721 

118 
55 
45 

47 
48 

776 

98 
46 
50 
72 
51 

44 
10 

1 
8 
5 

100 

16 
3 
7 
1 
5 

56 

8 
4 
3 
9 
6 

415 

53 
29 
26 
39 
39 
186 

64 

114 
58 
56 
86 

818 

116 
48 
54 
58 
37 

313 

98 
108 
98 
97 
94 

64 

13 

17 

4 

4 

7 

1881-1885. 

1886 

1887 

1888 

1889 

1890 

25,902 

5,849 
6,340 
6,594 
6.259 
6,9.34 
31,976 

6,620 
7,396 
7,440 
7,160 
7,535 

630 

228 
287 
191 
184 
211 

2.43 

3.90 
4.53 
2.86 
2.93 
3.04 

305 

98 
135 

87 
80 
112 

325 

130 

152 

■    104 

104 

99 

313 

101 

101 

79 

89 
1 

93 

317 

127 
186 
112 
95 
118 

24 

20 
15 
13 
3 

1 

32 

21 
11 

3 
10 

9 

30 

23 

4 
9 
11 
16 

45 

2 
35 
10 
7 
5 

1886-1890. 

"1891 

1892 

1893 

1894  

1895 

1,101 

102 
89 
157 
133 
340 

3.44 

1.50 
1.20 

2.11 
1.86 
4.51 

512 

52 
48 
75 
74 
166 

589 

■  50 
41 

,82 
59 
174 

463 

48 
44 
57- 
61 
145 

638 

54 
45 

100 
72 

195 

52 

2 

1 
1 

3 

54 

7 
1 

11 
3 

7 

63 

6 
8 
13 
8 
6 

378  !     495 

40         47 
23         39 

67  j      65 
72         47 
221  j       94 

59 

17 

3 
9 

1891-1895. 

1896 

1897 

1898 

Total, 
33  years 

36,151 

.  7,504 
7,110 
6,905 

173,787 

821  ■ 

283 

231 

93 

5,079 

2.24 

3.77 
3.25 
1.35 

2.92 

415 

149 
120 
51 

2,487 

406 

134 
111 
42 

2,592 

355 

120 
84 
34 

2,347 

1 

466 

163 
147 
59 

2,732 

7 

5 
3 

144 

29 

19 
19 
12 

328 

41 

6 
8 
5 

259 

423 

109 
111 
32 

1,748 

292 

I     140 
86 
40 

2,333 

29 

4 
4 
4 

267 

*  Exclusive  of  Providence  city. 


1808.]  CAiisKs  (II'   i)i;.\'iii.  226 

Fever,  Malarial. 

TIio  uumber  of  deutlis,  (lurii]<^-  18'J8,  froju  diseases  cliissed  as 
fever  malarial,  Avas  31.  The  number  in  1897  was  44 ;  in  189G  was 
42  ;  in  1895  was  29  ;  in  1894  was  2() ;  in  1893  was  20  ;  in  1892  was 
36  ;  in  1891,  31 ;  in  1890,  42  ;  in  1889,  40 ;  in  1888,  71 ;  in  1887,  85  ; 
in  1886,  44 ;  in  1885,  30  ;  1884,  25. 

Se;v. — Of  the  31  decedents  from  malarial  fevers,  in  1898,  15  were 
males  and  16  were  females,  or  94  males  to  every  100  females. 

Parentage. — There  were,  of  the  31  decedents  from  malarial  dis- 
eases, 10  of  native  parentage,  and  21  of  foreig-n. 

Season. — The  deaths  from  malarial  diseases  occurred  in  the  dif- 
ferent seasons  of  the  year  as  follows  : 

First  Quarter 7  Tliird  Quarter 10 

Second  Quarter 5  Fourth  Quarter 9 

First  lialf 12  Second  half 19 

Whole  year 31 

Age. — The  number  of  decedents  in  the  different  periods  of  life 
was  as  follows : 

Under  5  years  of  age 2 

From  5  to  20  years  of  age S 

From  20  to  40  years  of  age 10 

From  -10  to  GO  years  of  age 5 

CO  and  over G 

Total 31 

Localities. — Bristol  county,  1 ;  Kent  county,  0 ;  Newport  county, 
2 ;  Providence  county,  26  ;  Washing-ton  county,  2. 


Fevers,  Typhoid,  etc. 

The  number  of  decedents  whose  deaths  were  returned  as  having 
been  caused  by  "  fever  "  of  some  form,  not  malarial  nor  cerebro- 
spinal, was  76.     Deaths  from  puerperal  fever  are  not  included. 

The  following  Table  exhibits,  for  each  of  the  last  thirty-three 
years,  the  number  ami  the  percentage,  and  the  sex  and  parentage 
of  the  decedents  from  fevers  returned  as  from  typhoid,  and  the 
number  in  each  division  of  the  State  : 


226 


FOKTY-SIXTH    REGISTRATION    REPORT. 


[1898. 


Table  LXXV. 

Mortidity  in  th.e  Stale  from  Fevers,   Typhoid,  etc. — 1S6G  to  1898,  iadusive. 


« 

o 
u 

s 

1   3 

a 
o 
u 

1 

SEX. 

1 

PARENTAGE. 

1 

DIVISIONS  OF  THE 

STATE 

YEARS. 

1 

1 

6 
> 

n 

0 

l| 
'C  0 
P30 

c  3 

OJ  0 

Wo 

+3 

n 

is 

0 

a 
■a 

h 

a 
0 

be  . 

s  >■ 

Is 

1866-1870 

18T1-18T5 

1876 

1  641 

1 

740 

126 
134 
150 
114 

158 

4.2 

3.5 

3.0 
3.0 
3.4 
2.7 
3.4 

314 

350 

65 
63 
68 
47 
74 

327 
890 

61 

71 
82 
67 
84 

398 

419 

71 
65 
77 
63 
94 

243 

321 

55 
69 
73 

51 
64 

35 

12 

5 
8 
13 
4 
8 

39 

43 

9 
10 
13 
13 

12 

34 

13 
8 
6 
6 
5 

243 

263 

44 
52 
59 
44 
66 

184 

299 

33 
44 
47 
40 
52 

63 

89 
32 

1877 

12 

1878 

12 

1879 

7 

1880 

15 

1876-1880 

1881 

682 

143 
239 

258 
165 
158 

3.1 

2.8 
4.7 
4.8 
3.2 
2.9 

317 

74 
111 
146 
83 
71 

365 

69 

118 
112 
82 
87 

370 

74 
100 
117 
78 
70 

312 

69 
129 
141 
87 
88 

38 

4 
6 
9 

6 

57 

13 
11 
16 

7 
14 

38 

14 

5 

10 

12 

8 

265 

58 
56 
82 
66 
69 

216 

41 
145 
134 
64 
53 

68 
13 

1882 

6 

1883 

7 

1884 

9 

1885 

8 

1881-1885 

953 

169 
127 
235 
143 

107 

3.7 

2.9 
2.0 
3.6 
2.3 
1.5 

485 

78 
67 
125 
85 
58 

468 

91 
60 
110 
58 
49 

439 

76 
58 
88 
56 
39 

514 

93 
69 
147 

87 
68 

32 

6 

2 

20 

2 

7 

61 

8 
14 
24 

17 
8 

49 

11 
9 

14 
9 
5 

331 

66 
49 
66 
46 

37 

437 

70 
38 
102 
60 
43 

43 

1886 

8 

1887 

15 

1888 

9 

1889 

9 

1890 

7 

1886-1890 

781 

149 
133 
115 
159 
125 

2.5 

2.2 
1.8 
1.6 
2.2 
1.7 

413 

86 
75 
65 
93 
73 

368 

63 
58 
50 
66 
52 

317 

56 
55 
41 
46 
55 

464 

93 

78 
74 
113 
70 

37 

5 
5 
4 
5 
3 

71 

8 
12 

7 
13 

7 

48 

17 

9 

5 

13 

11 

264 

46 
49 
40 
56 
52 

313 

63 
51 
52 
70 
48 

48 

1891 

10 

1892 

7 

1893 

7 

1894 

2 

1895 

4 

1891-1895  

681 

113 
66 
76 

4,733 

1.9 

1.5 
0.9 
1.1 

2.7 

392 

66 
43 
49 

2,429 

289 

47 
23 
27 

2,304 

253 

44 
33 
23 

2,296 

428 

69 
33 
53 

2,437 

23 

6 
4 
2 

188 

47 

8 
4 
3 

333 

55 

9 

4 
11 

3,5 

243 

39 
25 
20 

1,693 

284 

43 
33 
39 

1,838 

30 

1896 

8 

1897 

6 

1898 

1 

Total,  33  years.. 

356 

*  Exclusive  of  Providence  city. 


]S08.]  CAUSES    OF    DHATFT.  227 

During-  1898,  of  the  76  decedents  from  typhoid  fever,  there  were 
40  nijiles  juid  27  females,  a  in'0])ortioii  of  about  181  males  to  every 
100  females.  The  ditt'erence  in  the  sexes  of  the  mortality  from 
fevers  is  not  usually  very  great. 

During-  the  period  of  thirty-three  years,  18G6  to  1898,  inclusive, 
the  proportions  of  the  sexes  of  the  decedents  from  "  fever,"  in  the 
State,  were  95  females  to  every  100  males. 

Parentage. — There  were  23  decedents  from  enteric  fever,  of 
native  parentage,  in  1898,  and  53  of  foreign  parentage,  a  pro- 
portion of  70  of  foreign  and  30  of  native  in  every  100  decedents. 

Season. — 

First  Quarter 20  Third  (iuiirter Kj 

Second  Quarter 1-^  Fourth  Quarter 28 

First  half 33  Second  half 44 

Whole  year 7G 

The  following  Table  shows  the  number  of  decedents  from  fevers, 
in  each  division  of  ages,  in  each  of  the  last  thirty-three  years,  in 
the  State  of  Ehode  Island  : 


228 


FORTY-SIXTH    REGISTRATIOlSr    REPORT. 


[1898. 


Table  LXXVI. 

Mortality  from  Typlioid  Femr  in  Age  Periods. 


Periods  of 

Life. 

YEARS. 

d 

53 

d 

in 

o 
o 

d 

o 

lO 

d 

CO 

O 

o 

1 

d 
o 

i 

d 

in 

_o 
o 

d 
o 

i 

d 
o 
o 

s 

o 
o 

> 

o 
a 
o 

CO 

o 

1366      

23 
17 
10 
10 
26 
13 
17 
27 
10 
23 
21 
22 
17 
19 
35 
25 
24 
36 
24 
K5 
29 
24 
27 
18 
13 
12 
10 
6 

18 
10 
10 
6 
8 

10 
6 

8 

18 

10 

18 

13 

14 

14 

10 

13 

16 

7 

13 

9 

22 

25 

13 

12 

9 

8 

27 

12 

11 

10 

11 

7 

8 

9 

3 

4 

5 

21 
33 
10 
14 
31 
20 
34 
34 
26 
19 
15 
18 
27 
14 
34 
19 
44 
46 
19 
16 
35 
16 
42 
29 
13 
25 
18 
16 
31 
10 
18 

8 

26 
33 
31 
28 
46 
38 
54 
31 
32 
43 
24 
36 
47 
26 
43 
29 
69 
75 
47 
25 
41 
31 
75 
41 
35 
50 
42 
43 
57 
56 
35 
22 
23 

31 
12 
8 
9 
19 
18 
20 
25 
9 
18 
14 
20 
13 
15 
23 
14 
27 
31 
22 
26 
20 
16 
29 
18 
14 
20 
20 
15 
21 
15 
13 
11 
21 

16 
11 

8 

25 
16 

9 
13 

5 
10 

9 

8 
11 

6 
12 
11 
14 
12 

9 
11 
14 
10 
16 

8 

5 
10 
15 
10 
12 

7 
16 

9 

9 

9 

8 

10 

9 

8 

9 

12 

13 

10 

10 

6 

5 

12 

3 

10 

9 

9 

11 

12 

11 

17 

5 

12 

9 

6 

7 

10 

10 

6 

9 

6 

3 

1 

14 
4 
5 
8 
8 
4 
11 
7 
3 
6 
16 
7 
2 
12 
5 

13 

10 

10 

10 

12 

8 

8 

3 

5 

6 

6 

6 

6 

3 

5 

7 

3 

1 

10 
2 
5 
6 
8 
5 
3 
8 
6 
4 
6 
2 
3 
8 
3 

11 
9 
8 
5 
6 
5 
4 
4 
3 
4 
3 
1 
2 
2 
4 
5 
1 

1867  

2 

1 

1868      

1869  

2 
2 
2 
1 
2 
2 

1870 

1 

1871 

1873 

1873  

1874 

1^75        

1876 

1877  

3 
o 

2 
3 

4 
1 

2 
3 

4 

1 
4 

3 

1 

1878 

1 

1880 

1 

1888 

2 

1884    

1 

1886 

1 

1888 

1890 

1 

1893 

1894  

1 

1896            .... 

Total  33  years  

615 

375 

732 

1,314 

603 

364 

287 

233 

155 

43 

13 

1898. 


rAFSES    or    DKATFf. 


:i29 


s 


■-*-> 


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rs; 

00 

OS 

o 

(iO 

'■4) 

'^ 

o 

P*^ 

^ 

o 

^ 

Eh 

^ 

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CO 

^ 

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c 

Qi 

<4) 

;^ 

<!> 

bs 

Co     lai 


I 

o  ■ 
O 


- 

T 

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— 

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—             — 

a 

CO 

CO         : 

CO           ^ 

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1-1 

""1           ,     . 

f-i           1^ 

o 

in 

t" 

CI         : 

ira          11? 

oo 

1-H 

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r-4 

iM          t~i 

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r- 

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t-          o 

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oi           oi 

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-           - 

oo 

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:        ct 

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s 

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:        It 

--            .o 

CO 

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Ol                0-1 

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i.O               lO 

cc 
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CO 

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Ol                01 

Ci 

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t- 

:        t-        Ci        X 

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1-1        r-, 

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:           -f           cr           t- 

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CO 

!           CO           oi           oi 

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:        X        t-        CO 

00 

T-l 

CO 

:           'IH           (M           eo 

o 

:       <N       t-       o 

1-1 

CO 

:        Tji        (N       CO 

X 

« 

'--. 

•— 

T. 

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'd 

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*2^ 

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OS 

'— 

x                 — 

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as 

—            _ 

—             .- 

,  •'                — 

—               T' 

t 

^ 

h— '                    ^ 

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'■            t'            1. 

tZ               — . 

i; 

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230  forty-sixth  registratioiir  report.  [1898. 

Diseases  of  the  Heart. 

The  number  of  decedents  from  the  various  forms  of  diseases  of 
the  heart,  as  reported  in  1898,  was  549.  The  number  is  21  less 
than  that  of  1897. 

This  number  represents  7.95  per  cent,  of  all  causes,  and  a  pro- 
portion of  1.32  to  every  one  thousand  of  the  population. 

Bex. — There  were  295  male  decedents,  and  254  female  dece- 
dents ;  a  proportion  of  about  116  males  to  every  100  females,  but 
these  proportions,  although  varying"  from  year  to  year,  are  not 
greatly  different. 

Parentage. — Of  the  549  decedents  from  diseases  of  the  heart, 
in  1898,  there  were  282  of  native  parentage,  and  267  of  foreign,  a 
proportion  of  about  106  of  native  parentage  to  every  100  of  for- 
eign. Except  in  1892,  1893,  and  1896,  it  has  been  the  invariable 
rule  of  the  whole  period  of  registration  that  the  native  population 
is  more  subject  to  heart  disease  than  the  foreign. 

The  following  Table  exhibits,  for  each  of  the  last  thirty-three 
years,  1866  to  1898,  inclusive,  the  number  and  percentage,  and  the 
sex  and  parentage  of  the  decedents  from  diseases  of  the  heart, 
and  the  number  of  the  same  in  each  division  of  the  State : 


1898. 


CAUSES    OF    DKATll. 


231 


Tai!LE  LXXVIII. 

Mortality  from  Diseases  of  tlic  Heart,  ISGG  to  ISOS,  iiiclndre. 


YEA  US. 


5  years,  18GC-1870 

1871-1875 

187G 

1877 

1878 

1879 

1880 

1876-1880 

1881 

1883 

1883 

1884 

1885 

1S81-1885 

1886 

1887 

1888 

1889 

1890 

1886-1890 

1891 

1892 

1893 

1894 

1895 

1891-1895 

1S9G 

1897 

1898 

Total,  33  years.. 


0} 

Q 

3 

4.) 

a 
u 

590 

8.83 

1 

922 

4.49  ! 

166 

4.03 

182 

4.09 

166 

8.73 

202 

4.78 

231 

5.08 

947 

4.25 

264 

5.65 

255 

5.31 

325 

6.20 

285 

5.60 

349 

6.48 

1,478 

5.71 

330 

5.20 

406 

6.40 

'436 

6.56 

460 

7.35 

405 

5.84 

2,037 

6.37 

480 

7.25 

506 

6.84 

535 

7.19 

476 

6.65 

535 

7.10  i 
7.01  ; 

2.532 

556 

7.41 

570 

8.02 

549 

7.95 

10,181 

5.86 

458 

86 

94 

88 

114 

125 

507 

181 

116 
167 
135 
162 


152 
205 
196 
233 
222 


1,008 

248 
260 
264 
251 
260 


282 

464 

80 


106 


133 
139 
158 
150 
187 


178 
201 
240 
227 
183 


1,029 

232 
246 
271 
225 
275 


1,283    1,249 


294 
805 
295 

5,169 


266 
254 

5,012 


PARENTAOE. 


395 

595 

109 
110 
109 
127 
146 
601 

154 
162 
179 
163 
198 


850 

184 
240 
240 
258 
219 


1,141 

244 
252 
264 
246 
275 


DIVISIONS  OP  THE  STATE. 


346 

no 

93 
146 
122 
151 


622 

146 
166 
196 
202 
186 


236 
254 
271 
230 
260 


1,281 

1,251 

266 

1 
290  1 

295 

275  i 

282 

267  j 

5,712 

4,469  : 

01  3 

"C  o 

no 


195  I   22 

827 

57 
72 
57 
75 
85 


34 


44   107 


64 

21 
22 
20 
16 
14 
93 

19 
9 
17 

323 


O  3 
a>  o 
WO 


20 
21 
22 
31 
49 
143 

37 
47 
43 
32 
41 
200 

40 
88 
42 

734 


ID 

o 

O 

u 

a* 

s 

£>. 

o 

^3 

4)  0 


©2 
^  c 

P-O 


>■  -1. 


Gd  •^ 
!>0 


48   184   262   26 


82  I  248 

38 
57 
38 
38 
59 


79   230 

24  78 
23  55 
70 


25 


94 


127  I  379 


82 
123 
122 
143 
114 


465  I   60 


86 
93 
83 
111 
104 


477 

121 
142 
172 
139 
159 


160  I  584 


137 
163 
174 
161 
180 


168 
193 
210 
199 
172 


942 

210 
200 
238 
192 
210 


211 

815 

1,050 

38 

189 

231 

42 

200 

230 

44 

171 

237 

881 

8,000 

4,627 

16 
11 
18 
12 
81 
88 

30 
26 
31 
29 
28 
144 

37 
26 
30 
» 
36 
163 

39 
51 
3S 

666 


*  Exclusive  of  Providence  city. 


232  FORTY-SIXTH    REGISTRATION    REPORT.  [1898. 

Sex. — Of  the  10,181  persons  deceased  from  diseases  of  the  heart, 
in  the  last  thirty-three  years,  5,169  were  males,  and  5,012  were 
females  ;  or  103  males  to  each  100  females. 

Parentage.— Oi  the  10,181  decedents,  during  thirty-three  years, 
5,712  were  of  native  parentage,  and  4,469  of  foreign.  The  pro- 
portions would,  therefore,  stand  as  follows  :  To  every  100  of  for- 
eign parentage  there  were  about  128  of  native ;  or  about  56  native 
and  44  of  foreign  parentage  in  every  100  deaths.  This  difference 
has  been  gradually  diminishing.  In  1892  there  were  2  more 
deaths  of  foreign  than  of  native  parentage  ;  in  1893  there  were 
7  more  deaths  of  foreign  than  of  native  parentage ;  in  1896  there 
were  24  more  deaths  of  foreign  than  of  native  parentage ;  in  1897, 
however,  there  were  20  more  deaths  of  native  than  of  foreign 
parentage ;  and  in  1898  there  were  15  more  deaths  of  native  than 
of  foreign  parentage, 

,   Diseases  of  the  heart  rank  second  in  the  order  of  causes  in 
1898. 

I'he  following  Table  shows  the  number  of  decedents  from  dis- 
eases of  the  heart,  in  each  divisional  period  of  life,  in  each  of  the 
last  thirty-three  years. 


1808.] 


TAirsKS    or    DKATII. 


233 


Tai'.le  LXXJX. 
Mortality  from  Diseases  of  t/ie  Heart,  in  Age  Periods. 


Periods  of 

Life. 

YEA  US. 

u 

o 

5 

o 

o 
es 

O 

3. 

Si 

s 

•6 

f, 

§ 

§ 

o 
•a 

o 

g 

s 

K 

1866 

18 

8 

14 

17 

10 

23 

21 

4 

186T 

11 

11 

10 

13 

22 

16 

27 

4 

1808 

!.■) 

d 

13 

11  ;  14 

28 

2.) 

5 

1869 

21 

4 

14 

18    20 

22 

21 

7 

1 

1870 

19 
9 
27 
19 
20 

6 
12 
12 
11 
IG 

11 
10 
22 
28 
26 

13    20 
19    23 

21 
36 
36 
35 

50 

23 

28 
29 
42 
40 

3 

6 
13 

9 
12 

1 

1S71 

1 

1872 

19 
18 
21 

31 
25 
27 

1873 

2 

1874 

2 

1575 

14 

16 

25 

20 

32 

29 

41 

9 

1876 

14 
15 
16 
19 
15 

10 

11 

8 

9 

f 

10 

15 
20 
18 
13 
18 

19  1   20 
18    27 

38 
45 
36 
51 
49 

39 
33 
35 
36 
49 

10 
13 
11 
16 
28 

I 

1877 

1878 

16 
25 
23 

26 
33 
38 

1880 

1 

1881 

32 

13 

26 

33 

37 

49 

53 

21 

1882 

22 

17 

24 

25 

36 

51 

61 

17 

2 

1883 

39 

13 

21 

33 

52 

65 

70 

26 

1884 

15 

25 

21 

32 

45 

61 

50 

32 

4 

1885 

88 

13 

24 

42    61 

69 

78 

24 

1886 

89 

18 

28 

38  I   52 

68 

69 

18 

1887 

52 

30 

23 

35  '   61 

79 

87 

39 

1888 

89 

25 

30 

54  \      84 

97 

74 

33 

1889 

45 

25 

37 

45  ;   69 

85 

118 

35 

1 

1890 

34 

15 

24 

53 

69 

78 

96 

36 

1891 

40 

18 

45 

41 

85 

109 

101 

38 

3 

1892 

54 

21 

82 

59 

93 

111 

104 

31 

1 

55 
40 

27 
28 

48 
36 

68 
64 

81 
69 

116 
102 

97 

102 

42 

35 

1 

1894 

1895 

33 

20 

44 

57    82 

137 

111 

51 

1896 

40 

33 

46 

65  :   98 

106 

117 

50 

1 

1897 

40 

34 

43 

68  1   74 

145 

117 

4'.l 

1898 

34 

22 

81 

57  ;   91 

1.34 

i;io 

50 

Ti)t<il,  33  years 

943 

546 

840 

1,139  1.607 

2,177 

2,180 

777 

« 

29 


234  FORTY-SIXTH    KEGISTRATIOX    REPORT.  [1898. 

The  results  of  thirty-three  years  of  registration,  with  record  of 
ag-es  of  decedents  from  diseases  of  the  heart,  show  in  periods  of 
twenty  years  each  of  life,  the  following  percentages  : 

Under  20  years  of  age 9.3  per  cent. 

Between  20  and  40 13.6  per  cent. 

Between  40  and  60 27.0  per  cent. 

Between  60  and  80 42.3  per  cent. 

Orer  80 7.6  per  cent. 

Xot  stated 0.2  percent. 

Total 100.0  per  cent. 

It  will  be  seen  that  more  than  42  per  cent,  of  all  the  deaths 
from  diseases  of  the  heart  were  of  persons  over  60  years  of  age, 
and  under  80. 

Diseases  of  the  heart  have  acquired  large  importance  as  a  cause 
of  death.  From  38.7  in  every  1,000  deaths  from  all  causes,  in  1866, 
heart  diseases  gradually  increased  to  about  73  in  every  1,000,  in 
1889,  and  falling  back  to  slightly  less  than  60  per  1,000,  in  1890, 
and  rising  to  72.5  per  1,000,  in  1891,  and  falling  to  68.4  in  1892. 
In  1893  there  were  71.9  deaths  from  heart  diseases  in  every  1,000, 
in  1894  there  were  66.5  deaths  in  eveiy  1,000,  in  1895  there  were 
71.0  deaths  in  every  1,000,  in  1896  there  were  74.1  deaths  in  every 
1,000,  in  1897  there  were  80.1  deaths  in  every  1,000,  and  in  1898 
there  were  79.5  deaths  in  every  1,000. 


Influenza. 

The  event,  during  the  first  four  months  of  the  year  1890,  of  a 
very  extraordinary  and  perhaps  unprecedented  prevalence  of  a 
form  of  influenza,  which  was  unlike  that  of  ordinary  occurrence 
in  that  it  affected  indiscriminately  all  the  functions  and  nearly  all 
the  organs  of  the  body,  varying  with  the  individuals  attacked, 
and  the  reappearance  of  the  same,  although  in  greatly  lessened 
numbers,  in  1891,  warrants  a  continued  notice  not  given  previous 
to  1890  in  the  Registration  Reports  to  the  affection  so  named. 

The  disease  was,  in  1890,  most  largely  confined  to  the  respira- 
tory passages,  and  resulted  in  a  largely  increased  mortality  from 
bronchitis  and  consumption.  During  1891  the  disease  was  equally 
as  severe,  affecting  in  a  larger  measure  the  brain  and  other  nerve 
centres,  and  the  direct  mortality  was  even  larger  than  that  of  1890. 
The  prevalence  was  largest  during  the  second  quarter  of  the  year, 
and  again  in  December. 


1898. J  CAfSES  OF  f»F.ATfr.  235 

The  increase  iu  December  of  1801  was  follr>we<l  bj-  a  sudden 
ang-raentation  in  the  first  four  months  of  the  folIowing^  year,  1802, 
the  greatest  number  of  deaths,  108,  occuning  in  Januaiy  of  1802. 
The  total  for  1892  was  336,  or  about  twice  as  much  as  for  either 
of  the  previous  yeai-s.  In  1803  there  were  84  deaths  reported  as 
resulting-  from  intiuenza.  This  was  251  less  than  in  1802.  In  1804 
there  were  166  deaths  from  influenza  reported,  an  increase  of  0.=3 
per  cent,  from  1893,  and  a  decrease  of  over  50  per  cent,  from  1802. 
In  1805  there  were  115  deaths  from  influenza.  In  1806  there  were 
but  42  deaths  from  influenza.  In  1807  there  were  153  deaths  from 
influenza.     In  1808  there  were  75  deaths  from  influenza. 

,SVi,/'._Of  the  75  deaths  from  influenza,  in  1808,  20  were  males 
and  46  were  females,  a  proportion  of  52  males  to  eveiy  100  fe- 
males, 

Parerd'Kjfi.—Tixa  parent  nativity  of  the  decedents  was  40  of 
native  and  35  of  foreign. 

Season.— Oi  the  75  deaths  from  influenza,  during  1808,  24  oc- 
curred in  the  first  quarter  of  the  year,  27  in  the  second,  3  in  the 
third,  and  21  in  the  fourth  quarter. 

^4^g._There  were  16  under  5  years  of  age,  2  from  5  to  20  years, 
10  from  20  to  40,  13  from  40  to  60,  20  from  60  to  80,  14  from  80 
years  of  age  and  over. 

The  following  Tables  will  show  the  proportionate  nativit}%  sex, 
and  locality  of  the  disease. 

The  greatest  mortality  appears  to  be  among  females,  there 
being  153  females  to  eveiy  100  males.  The  nativity  appears  to 
be  nearly  equally  divided  between  native  and  foreign,  there  being- 
101  foreign  to  100  native. 

The  largest  number  of  deaths  occurred  in  Providence  citv,  but 
this  is  not  out  of  proportion  to  the  proportionate  number  and 
density  of  population. 

Refendng  to  the  age  periods,  it  will  be  seen  that  the  greatest 
age  is  70  to  80,  there  being  267,  or  20.27  per  cent,  of  the  whole 
number  of  deaths  from  this  disease.  Taking  the  three  decennials 
including  60  to  00  we  have  644  deaths,  or  48.80  per  cent,  of  all 
by  ages. 

By  season,  the  greatest  number  of  deaths  occurred  during  the 
winter  months,  the  most  severe  being  during  Januar}-,  Febi-narv*, 
and  December.  The  number  in  Januai-y  and  Febniary  make  a 
total  of  674,  or  51.18  per  cent,  of  all. 


236 


FORTY-SIXTH    REGISTRATION    REPORT. 


[1898. 


Mortality  in  the  State  from  Influenza,  1S90  to  1898,  inclusive. 


CS 

a> 

P 

o 

ID 

a 

3 

CO 

o 
Ph 

SEX. 

PABBNTAGE. 

DIVISIONS   OF   THE 

STATE. 

YEARS. 

<D 

S 

iz; 

d 
o 

.s  ^ 

E  o 

>> 

+j  a 

P  3 
®  o 

Wo 

4^ 

>  3 

o 
C* 

P-O 

0) 

o 

a 
© 

PhO 

3 

o 

M    . 

1890 

168 
177 
366 

85 
166 
115 

42 
153 

75 

2.42 
2.67 
4.54 
1.14 
2.32 
1.53 
.56 
2.15 
1.09 

72 
67 
142 
34 
62 
48 
15 
52 
29 

96 
110 
194 

51 

104 
67 
27 

101 
46 

68 
91 
170 
47 
88 
63 
16 
72 
40 

100 
86 

166 
38 
78 
52 
26 
81 
35 

6 

7 
11 
7 
6 
3 
2 
3 
8 

14 

14 

27 

3 

9 

10 

1 

6 

3 

12 

14 

13 

5 

15 
9 
2 
3 
5 

61 
60 
115 
33 
48 
42 
30 
72 
30 

70 
69 
144 
33 
75 
41 
6 
64 
26 

5 

1891 

13 

1893 

26 

1893 

5 

1894 

13 

1895 

10 

1896 

1 

1897 

5 

1898    

3 

1890  1898  

1,317 

2.04 

521 

796 

655 

662 

53 

87 

78 

491 

527 

81 

Influenza  by  Age  Periods,  1890-1898. 


YEARS. 

u 

HI 

3 

o 

o 
o 

o 

o 
o 

o 
m 

_o 

o 

o 
o 
o 

o 
o 

o 
o 

17 
21 
33 

4 
12 
10 

4 
22 

8 

131 
9.95 

o 
o 

19 
29 
74 
13 
32 
16 
13 
22 
7 

235 

17.08 

o 

o 
o 
o 

11 

19 

41 

16 

17 

9 

6 

25 

8 

152 

11.54 

> 

O 

3 
cS 
O 

to 

o 
!5 

1890 

14 
11 
26 

7 

6 
14 

1 

11 
12 

102 

7.75 

18 
12 
20 

5 
14 
10 

3 

1 

4 

87 
6.61 

4 

2 
4 
2 
1 

2 

S 

1 

18 
1.37 

8 
8 
6 
3 
5 
5 
1 
5 
1 

42 

3.19 

14 
14 
13 

6 
11 

8 

1 

2 

4 

73 
5.54 

£2 

6 
19 

1 

6 

6 

2 
10 

6 

78 
5.92 

18 
14 
25 

20 

9 

2 
10 

5 

110 
8.35 

17 
42 
74 
16 
37 
24 
6 
38 
13 

267 

20.27 

5 
1 
3 
2 
4 
3 
1 
5 
6 

30 

2.28 

1 

1891 

1892 

1893 

1 

1894    

1895 

1896 

1897 

1898 

1890  1898  

2 

Per  cent,  of  all  ages,  9 

.15 

*  Exclusive  of  Providence  city. 


1 808. 1 


OAUSns   OF    DF.A'rif. 


"SI*}    t 


Influenza  by  Months,  ISHO-ISOS. 


YKAh'S. 

>. 

cS 

3 

l_ 

108 

4 
198 
5 
10-,' 
12 
9 
26 

471 

5 
£ 

1 

27 
3 

r)2 

1 

27 
20 

4 
67 

2 

203 

J3 

1 

11 

1 

31 
2 
10 
43 
5 
29 
15 

147 

a 
< 

8 
22 
27 
19 

9 
16 

11 
13 

132 

CS 

•?>. 

4 
19 
9 
12 
7 
7 
5 
4 
9 

76 

o 

•? 

2 
19 
6 
4 
3 
6 
4 
3 
5 

52 

a 

2 
2 

1 
2 
5 
1 

m 

s 
s 

2 
2 
2 

1 

u 

s> 

Xi 

S 
a> 

a 
s> 
tn 

1 
2 
3 

1 
1 

i 

o 
u 
O 

3 
4 
2 

1 

Si 

6 

V 

(- 

o 

>^ 

1 

1 
1 
1 
1 

2 

3 
1 

11 

i 

B 

§ 

o 
1 

9S 
5 

36 
3 
4 

2 

6 
20 

175 

1890 

1C8 

1691 

117 

189a 

330 

1893  

85 

1894 

166 

1895  

115 

1896 

o 

2 
2 

1 

13 

1 
2 

13 

42 

1897  

153 

1898 

2 

15 

9 

75 

1890-1898  

1  317 

Insanity. 

There  were  82  deaths  from  insanity,  in  1898,  a  decrease  of  21 
from  1897.  The  percentage  to  the  whole  number  of  deaths  was 
1.19.  These  deaths  occurred  chiefly  at  the  Cranston  institutions, 
and  in  the  Butler  hospital. 

^ex. — There  were  41  male  and  41  female  decedents. 


Parerdagi.'. — The  number  of  native  decedents  from  insanity  was 
37,  and  of  foreign  ])arentage  45. 

Of  the  82  deaths  in  1898,  there  were  19  from  dementia,  25  from 
senile  dementia,  3  from  acute  mania,  G  from  chronic  mania,  7  from 
melancholia,  and  22  from  insanity. 

Of  the  19  deaths  from  dementia,  the  secondary  cause  given  in 
3  cases  was  chronic  Blight's  disease;  3,  pulmonary  tuberculosis; 
5,  paralysis  ;  2,  cerebral  softening  ;  1,  cancer  of  abdominal  viscera  ; 
1,  j)arotitis  and  meningitis;  4  cases,  no  secondary  cause  given. 

Of  the  25  deaths  from  senile  dementia,  the  secondary  cause 
given  in  3  cases  was  chronic  nephritis;  2,  diarrhoea ;  1,  cystitis; 


238  I'ORTT-SIXTH    REGISTRATION    REPORT.  [1898. 

1,  epilepsy  ;  1,  pulmonary  tuberculosis  ;  1,  pneumonia  ;  1,  valvular 
disease  of  heart ;  15  cases,  no  secondary  cause  given. 

Of  the  22  deaths  from  insanity,  the  secondary  cause  given  in 
7  cases  was  paralysis  ;  2,  chronic  nephritis  ;  1,  valvular  disease  .of 
heart ;  1,  childbirth  ;  1,  cystitis  ;  1,  pulmonary  tuberculosis  ;  1, 
epilepsy  and  meningitis  ;  in  8  cases  no  secondary  cause  was  given. 

Of  the  3  deaths  from  acute  mania,  the  secondary  cause  given  in 
1  case  was  Bright's  disease  ;  1,  pulmonary  tuberculosis  ;  1,  tuber- 
cular meningitis. 

Of  the  6  deaths  from  chronic  mania,  the  secondary  cause  given 
in  3  cases  was  chronic  nephritis  ;  1,  diarrhoea ;  1,  pulmonary  tuber- 
culosis ;  1,  no  secondary  cause  given. 

Of  the  7  deaths  from  melancholia,  the  secondary  cause  given  in 
1  case  was  chronic  Bright's  disease ;  2,  pulmonary  tuberculosis ; 
1,  malignant  tumor  of  brain  ;  3,  no  secondary  cause  given. 

Secondary  causes,  with  insanity  in  some  form  as  a  primary  cause, 
were  as  follows :  chronic  Bright's  disease,  6 — dementia  1,  insanity 
1,  acute  mania  2,  chronic  mania  1,  melancholia,  1 ;  cancer  of  ab- 
dominal viscera,  1 — dementia  ;  cerebral  hemorrhage,  2 — dementia 
1,  insanity  1 ;  cerebral  softening,  3— dementia  3 ;  childbirth,  1 — 
insanity ;  cystitis,  2 — insanity  1,  senile  dementia  1 ;  diarrhoea,  3 — 
senile  dementia  2,  chronic  mania  1 ;  epilepsy,  2— insanity  1,  senile 
dementia  1 ;  paralysis,  13 — insanity  10,  dementia  3 ;  phthisis  pul- 
monalis,  9 — dementia  3,  senile  dementia  1,  insanity  1,  acute  mania 
1,  chronic  mania  1,  melancholia  2 ;  valvular  disease  of  heart,  2 — 
senile  dementia  1,  insanity  1  ;  tubercular  meningitis,  1  —  acute 
mania  ;  parotitis  and  meningitis,  1 — acute  mania  ;  pneumonia,  1 — 
senile  dementia  ;  chronic  nephritis,  7 — dementia  1,  chronic  demen- 
tia 3,  insanity  1,  chronic  mania  2  ;  malignant  tumor  of  brain,  1 — 
melancholia. 

The  following  Table  shows  the  mortality  in  the  State  from  in- 
sanity for  thirty-three  years,  with  percentage  to  deaths  from  all 
causes,  sex,  parentage,  etc.,  from  1866  to  1898,  inclusive  : 


181J8 


(JAUSHS    (»I-    DKATH, 


239 


Table  LXXX. 

Mortalit}/  in  (he  State  from  InHanity. 


m 

Q 
o 

e 
1 

72 

lOG 

12 
19 
22 
17 
19 

s 

b 

.47 

.52 

.28 
.49 
.50 
.40 
.39 
..S9 

.63 
.45 
.55 
.69 
.67 

SEX. 

FARGNTAOE. 

DIVISIONS  OF  THE 

STATE. 

YKAUS. 

tn 

v 

a 

;i3 

55 

i 

5 

;      9 

5 
11 
9 

1 
S 

'a 
y 

13 
52 
76 

9 

1        ^ 
16 

10 

13 

"5 

1 

•1% 
cao 

11 

o 

c 
o 

&-0 

a 

o 

it 

lf>(JG~l.STO 

39 
51 

10 
10 

20 
30 

3 

10 
6 
7 
6 

'       3 

i 

1    ■ 

5 
2 

2 

1 

4 
8 

1 

1 

7 

88 

1 
5 
3 
5 
6 

53 
58 

6 
12 
17 
11 

9 

1 

1871   ISTS 

3 
1 

1876 

1ST7 

1 

1878 

1 

1879 

1 

1 

1 

1 880 

1 
i 

1   i        2 

1 

1870-1880 

1881  

89 

32 
23 
29 
36 
35 

1      39 

15 
9 
12 
17 
16 

50 

17 
14 
17 
19 
19 

57 

22 
18 
17 
24 

!      18 

82 

10 
5 
12 
12 
17 

1 

1 

1 
2 

4 

1 
1 
2 
3 

4 



3 

20 

10 

8 

7 

21 

23 

55 

16 
12 
18 
9 
10 

5 
1 

1882 

3 

1 S83 

1 

1 

1S84 

1 885 

1881-1885 

1.55 

49 
64 
43 
22 
.30 

.59 

.83 
1.01 
.64 
.35 
.44 

69 

\      ^' 
1      35 

;  21 

14 
19 

86 

28 
29 
22 
8 
11 

!      99 

'      28 
1      33 

24 
!      12 

16 

5G 

21 
31 
19 
10 
14 

4 

3 

'         1 
1 

1 
2 

5 

1 

1 

69 

37 
56 
33 
14 
13 

65 

8 
14 

5 

1880 

1887 

6 

1888 

1890 

1 

1 

18!)1 

208 

■     21 
27 
39 
49 
72 

.65 

.32 
.37 
.53 
.68 
.96 

1     110 

10 

17 

14 

1      20 

i      36 

98 
11 

10  : 

25  1 

29 

36 

113 

16 
15 
13 
22 
44 

93 

5 
12 
26 
27 
28 

6 
3 

3 

153 

5 

8 

80 

27 

41 

86 

13 
14 
9 
18 
27 

6 
2 

189-2 

1 

1893 

1894 

1 
3 

1 

o 

1 895 

1891-1895  

208 

53 
103 
83 

1.076 

.57 

.70 
1.45 
1.19 

.62 

97 

28 
53 
41 

525 

111 

25 
50 
41 

.551 

110 

22 
51 
87 

617 

98 

81 
52 
45 

459 

7 

3 
24 

3 

3 

80 

1 
4 
81 

111 

40 
78 
GO 

571 

81 

11 
13 

10 

383 

5 

18915 

1897 

1898        

6 

Total,  33  years.. 

.37 

*  Esclusire  of  Providence  city. 


240  fokty-sixth  eegistkation  report.  [1898. 

Diseases  of  the  Kidneys. 

There  were  471  deaths  returned,  during  1898,  with  diseases  of 
the  kidneys  assigned  as  the  cause. 

This  number  represents  6.82  per  cent,  of  all  causes,  and  a  pro- 
portion of  1.13  to  every  1,000  of  the  population. 

jSex. — Of  the  471,  there  were  228  males,  and  243  females. 

Parentage. — There  were  207  of  native  parentage  and  264  of  for- 
eign, or  about  78  of  native,  to  every  100  of  foreign  parentage. 

Previous  to  1890,  the  decedents  from  diseases  of  the  kidneys,  of 
foreign  parentage,  outnumbered  those  of  native  parentage. 

Age. — Of  the  471  decedents  from  kidney  diseases,  14  were  under 
5  years  of  age,  22  from  5  to  20,  104  from  20  to  40,  149  from  40  to 
60,  149  from  60  to  80,  and  33,  80  and  over. 

Diseases  of  the  kidneys  have  largely  increased  in  number,  and 
much  more  largely  in  proportion,  during  the  last  thirty -three 
years. 

During  the  ten  years  from  1866  to  1875,  inclusive,  the  propor- 
tion of  deaths  from  kidney  diseases,  to  whole  number  of  deaths 
from  all  causes,  was  but  little  more  than  one  per  cent.,  while 
during  the  ten  years  from  1886  to  1895,  inclusive,  the  proportion 
was  nearly  three  and  one-half  per  cent. 

The  following  Table  will  present  various  facts  in  relation  to  the 
mortality  from  diseases  of  the  kidneys,  in  Khode  Island,  for  thirty- 
three  years,  1866-1898  : 


189S. 


CAUSKS    OF    DEATir, 


241 


TAliLE  LXXXI. 
Mortality  in  the  State  from  Kidney  Diiieases,  ISGd  to  JSDS,  inclufrire. 


YEARS. 


5  years,  18G6-1870 

1871-1875 

1870 

1877 

1878 

1879 

1880 

1876-1880 

1881 

1882 

1883 

1884 

1885 

1881-1885 

1886 

1887 

1688 

1880 

1890 

1886-1890 

1891 

1892 

1893 

1894 

1895 

1891-1895 

1896 

1897 

1898 

Total,  33  years.. 


135 

295 

50 
67 
80 
79 
91 


1.44 

1.28 
1.57 
1.8» 
1.88 
2.02 


367  I  1.65 


79 

1.69 

86 

1.79 

129 

2.43 

118 

2.29 

159 

2.97 

571 

2.20 

155 

169 

1 
213  j 

210  I 

229  I 

976  I 

245 
258  I 
302  ' 
313 
J41_ 
1.459 

395 


2.49 
2.66 
3.23 
3.38 
3.20 
3.05 

3.06 
3.49 
4.06 
4.37 
4.54 
3.90 

5.26 
5.44 

6.82 


5,056  2.91 


94 

167 

22 
40 
50 
51 
52 


215 

40 
50 
72 
53 
92 


807 

85 
92 
102 
119 
116 


514 

123 
135 
154 
152 
176 


740 

209 
198 
228 

2,672 


128 

28 
2t 
30 
28 


152 

39 
36 
57 
65 
67 


264 

70 
77 

111 
91 

113 


462 

122 
128 
148 
161 
165 
720 

186 
189 
243 

2,384 


PARENTAGE.' 

i 
1 

a 

1 

91 

1 
44 

187 

108 

32 

18  , 

35 

32  1 

49 

31  1 

44 

35 

51 
211 

40 

156 

47 

32 

45 

41 

74 

55 

66 

52 

86 

73 

318 

853 

93 

68 

90 

79 

122 

91 

122 

88 

109 

120  1 

586 

440 

122 

123 

127 

131 

141 

161 

164 

149 

171 

170 

725 

784 

188 

807 

185 

202 

807 

264 

2,648 

8,408 

DIVIHION9  OF  THE  STATE. 


it 

uo 

6 

«  o 

O  S 
<U  o 

7 

n 

o 

■OS 

'>5 
£S 

£,0 

S 

g 

1 

SB  . 

n 

25 

23 

66 

8 

11 

11 

17 

67 

172 

17 

1 

1 

7 

10 

28 

3 

2 

1 

14 

49 

1 

4 

3 

3 

21 

47 

8 

1 

3 

1 

23 

43 

8 

1 

5 

10 

27 

46 

8 

9 

13 

21 

95 

213 

16 

7 

5 

4 

14 

48 

1 

2 

5 

10 

15 

52 

2 

5 

2 

17 

37 

60 

8 

5 

11 

12 

38 

54 

8 

8 

10 

17 

31 

88 

5 

27 

33 

60 

125 

302 

24 

3 

10 

22 

37 

71 

18 

5 

6 

16 

43 

92 

7 

10 

10 

24 

46 

115 

8 

14 

13 

15 

62 

96 

10 

15 

8 

21 

59 

116 

10 

47 

47 

98 

847 

490 

47 

9 

18 

25 

78 

114 

13 

9' 

11 

24 

70 

128 

16 

19 

15 

85 

81 

147 

15 

28 

80 

S3 

84 

136 

18 

23 

19 

29 

96 

163 

11 

88 

77 

136 

403 

688 

73 

19 

39 

34 

125 

160 

18 

84 

19 

80 

129 

164 

81 

19 

83 

25 

153 

219 

88 

844 

860 

4-16 

1,367 

2,474 

856 

30 


Exclusive  of  Providence  city. 


242  foett-sixth  registration  report.  [1898. 

Diseases  of  the  Liver. 

There  were  91  deaths  reported,  in  1898,  as  having  been  caused 
by  structural  diseases  of  the  liver. 

This  number  represents  1.32  per  cent,  of  all  causes,  and  a  pro- 
portion of  .22  to  every  1,000  of  the  population. 

Of  the  91  decedents,  there  were  41  males  and  50  females,  or  ]22 
females  to  every  100  males. 

There  were  31  of  native  parentage,  and  60  of  foreign,  or  about 
52  of  native  to  every  100  of  foreign. 

Seventy -nine  of  the  whole  number  were  of  persons  of  40  years 
of  age  and  over. 

In  the  age  period  of  from  5  to  40,  there  were  but  11  decedents 
from  diseases  of  the  liver. 

The  mortality  from  such  diseases  does  not  depend  to  any  marked 
extent  upon  the  influence  of  season. 

Table  LXXXII  will  present  various  facts  relating  to  diseases  of 
the  liver  during  thirty-three  years  : 


1898.] 


CACSKS    OF    DFATFI. 


243 


Table  LXXXII. 

Mortality  from  Diseases  of  the  Liver,  ISGG  to  ISUS,  incUmre. 


CO 

1 

s 

a 

1 

SEX. 

FARBNTAOB. 

DIVISIONS  OF  THE 

STATE 

YEARS. 

1 
1 

1.81 

.98 

1 

1 

"3 

a 

a> 

> 

1 

d 

tic 

1 

It 

T.  o 

pao 

It 
II 

® 
o 
c« 

1° 

u  o 

1   a> 

1  2 

£0 

1 
si  . 

1866-1870 

i    201 
202 

1 

!    118 

91 

i 

88 

111 

118 
119 

88 
83 

12 

18 

14 

14 

36 

12 

47 
56 

70 

88 

22 

1871-1875 

14 

1876 

45 
52 
49 
52 

58 
256 

1.09 
1.17 
1.10 
1.24 

1.27 
1.15 

:     26 

23 
!      25 
'      27 

29 

19 
29 

24  1 

25 

29 

27 
31 
32 
31 
40 

18 
21 

1 
1 

5 

1 
4 
3 

5 

7 
6 
2 

8 

11 
16 
14 

14 
15 

18 
24 

18 
22 

25 

5 

1877 

4 

1878 

17  1         8 

2 

1879 

21 
18 

4 
4 

6 

1880 

3 

1876-1880 

130 

126 

161 

95          18 

13 

28 

70 

107 

20 

188!  

46 
62 

.92 
1.22 

,      30 
34 

16 

28 

21 
36 

26  1          3 

2 
5 

6 
10 

8 
17 

24 
24 

4 

1882 

3 

1883 

51 

.94 

27 

24 

20 

31   i          5 

6 

4 

16 

18 

2 

1884 

48 

.93 

22 

26 

23 

25            5 

3 

5 

2 

31 

2 

1885 

61 

1.13 

j       24 

37  \ 

32 

29 

2 
17 

6 

6 

21 

24 

2 

1881-1885 

268 

1.03 

137 

131 

132 

136 

22 

31 

64 

121 

13 

1886 

54 

.92 

29 

25 

26 

28            4 

4 

4 

14 

28 

1887 

86 
68 
70 

65 

1.35 
1.08 
1.12 

.94 

40 
38 
30 
42 

46 

30 
40  i 
23 

38 
36 
31 
29 

48    1        3 
32            1 
39            1 

36  I          3 

5 
5 
2 
4 

3 
6 
10 
6 

31 
28 
26 
21 

39 
20 
29 
26 

5 

1888 

2 

1889 

2 

1890 

5 

1886-1890 

343 

1.07 

179 

164 

160 

183  ']      12 

1 

20 

29 

120 

148 

14 

1891 

81 
8«| 
T2 
9S 

1.23 

i.ao 

.97 
1.80 

41 
89 
43 
48 

40 
50 
29 
50 

28 
34 
SO 
42 

53           3 
55    1        8 
42            4 
51  1          2 

4 

5 
8 
9 

9 
4 
6 
9 

26 
27 
15 
42 

38 
45 
36 
24 

1 

1892 

5 

1898 

3 

1894 

7 

1895 

81 

1.07 

43 

38  i 

28 

53      

6 

10 

27 

31 

7 

1891-1895 

416 

1.15 

209 

207 

162 

254          12 

82 

88 

137 

174 

23 

1896 

110  1 

1.47 

56 

54  j 

37 

73  1!        3 

7 

6 

40 

48 

6 

1897 1 

58| 

.82 

31 

27 

22 

36  1         4 

3 

6 

15 

25 

5 

1898 

91 

1.82 

41 

50 

31 

60 

3 

7 

6 

26 

41 

8 

1,945 

1.12 

1 

987 

958 

1 

942 

1,008 

99 

132 

198 

675 

822 

125 

♦  Exclusive  of  Providence  city. 


244  forty-sixth  eegistratiolsr  report.  [1898. 

Dropsy. 

During  1898  there  were  3  deaths  returned  as  having*  been  caused 
by  dropsy.  This  number  represents  .04  per  cent,  of  deaths  from 
all  causes. 

It  has  been  repeatedly  observed  in  previous  reports  that  al- 
though this  term  is  a  misnomer  in  a  large  measure,  and  conveys 
no  definite  idea  of  the  pathological  condition  preceding  the  drop- 
sical accumulation,  it  is,  nevertheless,  the  only  cause  returned, 
and  as  it  is  in  some  instances  the  apparently  immediate  cause 
of  death,  it  is  given  a  place  in  the  Registration  Reports  ;  and  as 
a  frequent  result  and  concomitant  of  diseases  of  the  kidneys  and 
liver,  it  has  been  placed  in  comparison  with  them  in  the  following 
Table. 

Of  the  3  decedents  from  dropsy,  2  were  males  and  1  was  fe- 
male. 

Of  the  parentage,  1  was  of  native  and  2  of  foreign  parentage. 

It  will  be  noticed  that  the  number  of  deaths  from  dropsy,  for 
1898,  was  but  three.  This  is  explained  by  the  fact  that  the  diag- 
nosis of  dropsy  was  not  accepted  as  a  cause  but  as  a  symptom. 
In  these  cases  strenuous  effort  was  made  by  the  Registrar  to 
ascertain  the  cause  of  the  dropsy  from  tlie  physician,  in  every 
case  so  reported.  The  large  number  returned  from  that  cause 
was  distributed  under  the  headings  of  heart  disease,  liver  disease, 
or  disease  of  the  kidneys,  as  finally  ascertained  from  the  physician 
in  charge.  These  groups  of  diseases  are  therefore  correspondingly 
increased  over  the  numbers  of  previous  years. 

In  these  three  cases  the  causation  of  the  ascites  was  so  obscure 
that  no  decision  could  be  arrived  at,  either  as  a  result  of  the  phy- 
sician having  been  called  after  death,  or  in  the  absence  of  any 
previous  history. 

An  examination  of  Table  LXXXIII  will  serve  as  evidence  of 
the  greater  carefulness  and  better  judgment  of  the  medical  prac- 
titioners of  the  present  time,  inasmuch  as  the  causes  of  dropsy 
are  now  better  understood  and  reported,  and  for  that  reason  the 
number  of  deaths  attributed  to  dropsy  is  very  small. 


1898. 


("ATSES    or    DKATir. 


24o 


Table  LXXXIII. 

Mortality  from  Kichuy  and  Liver  DincaseH  compared  with  Dropny  (no  returned^ 
for  thirty  three  years,  1SG6-1S9S.  • 


Total,  33  years, 


DEATHS    FItOM 
KIDNEY 

DISKAftES. 


135 

295 

50 
67 
80 
79 
91 
367 


129 
118 
159 
571 

155 
169 
213 
210 
229 


976 

245 
258 
302 
313 
341 
1,459 

395 
387 
*47I 

5,056 


94 

167 

22 

40 
50 
51 
52 
215 

40 
50 
72 
53 


85 
92 
102 
119 
116 
514 

123 
135 
154 
152 
176 
740 

209 
198 
2-^8 

2,672 


128 

28 
27 
30 
28 
39 
15a 

39 
36 

57 
65 
67 
264 

70 
77 

111 
91 

118 


122 
123 
148 
161 
165 
719 

186 
189 
243 

2,384 


DEATHS    FROM 

I.IVKIt 

DISEASES. 


"3 
1 

1 

201 

113 

202 

91 

45 

26 

52 

23 

40 

25 

52 

27 

58 

29 

256 

130 

46 

30 

63 

34 

51 

27 

48 

22 

61 

24 

268 

137 

54 

29 

86 

40 

68 

88 

70 

30 

65 

42 

348 

179 

81 

41 

89 

39 

72 

43 

93 

43 

81 

43 

416 

209 

110 

56 

58 

81 

91 

41 

1,945 

987 

88 

111 

19 
59 
24 
25 
29 
126 

16 
28 
24 
26 
37 
131 

25 
46 
80 
40 


TOTA  r, 

DEATHS    FROM 

KIDNEY    AND 

LIV£U  JUISKASES. 


1 

1 
"3 

836 

207 

497 

258 

95 

48 

119 

63 

129 

75 

181 

78 

149 

81 

623 

845 

125 

70 

148 

84 

180 

99 

166 

75 

220 

116 

839 

444 

209 

114 

255 

182 

281 

140 

280 

149 

294 

158 
693 

1,S19 

826 

164 

347 

174 

874 

197 

406 

195 

422 

219 

1,875 

949 

505 

265 

445 

229 

562 

269 

7,001 

8.659 

129 

239 

47 
56 
54 
58 
68 
278 

53 
64 
81 
91 
104 
395 

95 
123 
141 
131 
136 


162 
178 
177 
211 
208 


240 
216 
293 

8,342 


DEATHS    FKOM 

imorsv. 


302 

294 

70 
64 
44 
54 
46 
278 

48 
52 
47 
40 
'  44 


231 

45 
35 
47 
42 
44 
218 

85 


7 

4 

124 


2 
2 
8 

1,449 


143 

130 

35 
25 
23 
28 
22 


159 


164 


35 


133     145 


117  I  114 


27 
21 
29 
28 
26 
181 

27 
22 
28 
4 
8 
84 

1 
1 
2 


648     801 


>>>> 

CO  OJ 

B.S     ■ 

So-- 
B2-0 

5.si 


-34 

-208 

-25 
—55 
-85 
-77 
—103 
-345 

—77 
-96 
—133 
-126 
—176 


—164 
—220 
-284 
—238 
-250 
-1,106 

-291 
-308 
-335 
-899 
-418 
—1,751 

-508 
-448 
—559 

-5,552 


1.96 

1.43 

1.70 
1.44 

.99 
1.21 

.95 
1.25 

.96 
1.02 
.89 
.78 
.82 
.89 

.77 
.55 
.71 
.67 
.68 
.67 

.52 
.58 
.52 
.10 
.06 
.84 

.03 
.03 
.04 

.63 


246  forty-sixth  eegistratiok  report.  [1898. 

Measles. 

There  were  18  decedents  from  measles  as  a  cause  of  death  in 
1898.     The  number  is  15  less  than  in  the  preceding  year. 

This  number  represents  .26  per  cent,  of  all  causes,  and  a  pro- 
portion of  .04  to  every  1,000  of  the  population. 

Of  the  18  there  were  11  males  and  7  females.  The  sexes  as  a 
rule  seem  to  be  nearly  equally  susceptible  to  measles  and  to  mor- 
tality therefrom. 

Of  parentage  there  were  3  of  native,  and  15  of  foreign. 

During  the  last  ten  years  the  proportion  of  mortality  from 
measles  has  been  about  53  of  native  to  every  100  of  foreign  par- 
entage. 

During  1898  the  number  of  decedents  under  5  years  of  age 
was  15. 

The  number  in  the  different  divisions  of  the  State  may  be  found 
in  Table  LXXXIV  : 


1898. 


CAUSES    OF    DK.VTir. 


247 


Table  LXXXIV. 

Mortality  in  the  State  from  Measles,  1866  to  1808* 


CO* 

cd 

» 

O 
1 

S 

9 

u 

SEX. 

PARBNTAQE. 

DIVISIONS  OF 

THE 

STATE. 

YEARS. 

1 

S 

I 

1^ 

no 

Mo 

S50 

4> 
O 

£8 

p 

a 
1. 

c  >, 

Is 

5  years.  1866-1870. 

92 

.60 

44 

48 

26 

66 

6 

4 

12 

35 

25 

5  years,  1871-1875. 

102 

.50 

43 

59 

53 

49 

5 

12 

7 

39 

35 

4 

1876 

4 
11 
81 

.10 

.25 

1.82 

3 
39 

4 

8 

42 

1 

2 

25 

3 

9 

56 

4 

8 

26 

1877 

1 

2 

1876 

2 

3 

1879 

1880 

9 

1 
.20  i 

3 

6 

2 

7 

6 

3 

1876-1880 

105 

.47 

45 

60 

30 

75 

2 

3 

1 

44 

55 

1881 

37 

.74 

17 

20  i 

15 

22 

! 

1 

2 

9 

25 

1882 

6 
14 

1 

1 
11 

1 
5i 

3 



9 

6 
5 

2 
3 

4 

8 

1883 

1 

o 

1884 

18 

.35  ! 

10 

8 

5 

13 

1 

6 

1 

3 

7 

1885 

45 

.84  1 

27 

18 

19 

26 

7 

o 

•>~ 

8 
52 

1 

1881-1885 

120 

.46 

66 

.54 

48 

72 

1 

15 

5 

44 

3 

1886 

18 
132 

.30 
2.08 

11 
69 

7  1 
63  1 

4 

57 

14 
75 

5 
5 

6 

4 
26 

9 
90 

1887 

3 

1888 

11 

.22 

5 

6  1 

3 

8 

2 

7 

2 

1889 

29 

.47 

15 

14  ! 

10 

19 

8 

14 

1890 

92 

1.32 

45 

47  1 

42 

50 

2 

10 

3 

41 
85 

31 
146 

a 

282 

.88 
.18 

145 

137  i 

116 

166 

2 

80 

11 

1891 

12 

7 

5  1 

4 

8 

1 

2 

2 

3 

3 

1 

1892 

28 

.38 

14 

1 
14  1 

10 

18 

2 

4 

11 

11 

1893 

100 

1.34 

56 

44  { 

83 

67 

11 

22 

64 

3 

1894  

9 

5S 

.12 

.70  ' 

4 

24 

5 
29 

3 

6 
42 

2 

2 

8 

5 
40 

1895 

5 

1891-1895 

202 

.54 

105 

97  ' 

61 

141 

1 

20 

8 

46 

123 

4 

1896 

58 

J 

28 

80 

1      22 

86 

6 

8 

28 

•     19 

2 

1897 

83 

.46 

21 

12 

11 

22 

5 

1 

1 

8 

18 

1898 

18 
1,012 

.26 

.58 

11 

508 

604 

8 
870 

15 
642 

1 
46 

12 
341 

4 

487 

1 

Total,  33  years.. 

22 

91 

25 

♦  Exclusive  of  Providence  city. 


248  porty-sixth^registration  report.  [1898. 

Old  Age, 

The  number  of  deaths,  in  1898,  attributed  to  old  age  as  a  cause, 
was  205.     This  is  46  more  than  in  1897. 

This  number  represents  2.97  per  cent,  of  all  causes,  and  a  pro- 
portion of  .59  to  every  1,000  of  the  population. 

Of  the  205  decedents  from  old  ag-e,  86  were  males,  and  119  were 
females,  or  about  72  males  to  every  100  females. 

Of  the  parentage  of  the  205,  there  were  135  of  native  and  70  of 
foreign  parentage,  or  193  of  native  to  every  100  of  foreign. 

The  following  Table  will  present  the  statistics  of  deaths  in 
Rhode  Island  from  old  age  for  thirty-three  years  : 


ISDS.] 


CAUSKS  oi''   i»i:\'i'ii. 


249 


Table  LXXXV. 


MorliilUij  ill  the  State  from   Old  Af/c,  JS('>i>  to  ISfiS,  indusirc. 


i 
1 

Q 

o 

u 

1 

SEX. 

FABENTAOE. 

DIVISIONS  OF  THE 

STATE. 

YKARS. 

to 

1 

i 

"3 
S 

> 

1 

n 
bo 

2 

■SB 

a  s 
<o  o 
Mo 

1 

;z;o 

9) 

'■J 

a» 

I-  o 

cuo 

O 

B 

'>  ..• 

ft.O 

e 
o 

^  . 
B.  ^ 

•is 
l8 

5  years.  1800-1870 
1871-1875 

998 

1.158 

241 
213 
232 
220 
273 

6.48 

5.64 

6.18 
5.00 
5.25 
5.22 
5.95 

1 
300 

467 

107 
96 
84 
82 

121 

032 

691 

134 
117 
138 
138 
152 

764 

833 

177 
145 
172 
152 
186 

284 

325 

64 
68  1 
50 
68 
87 

55 
61 

12 

12 
15 
14 
12 

102 

103 

14 
23 
8 
19 
20 

157 

101 

38 
29 
32 
26 
34 

233 

332 

65 
.57 
76 
69 
90 

207 

348 

71 
63 
61 
67 
73 

134 

153 

1870. 

41 

1877  

29 

1878 

30 

1870 

25 

1880 

44 

1876-1880 

1881 

1,169 

247 
283 
275 
293 
267 

5.24 

5.29 
5.89 
5.S2 
5.68 
4.95 

490 

101^ 
110 
105 
101 
86 

679 

146 
173 
170 
192 
181 

832 

107 
190 
184 
196 
183 

337 

80 
93 
91 
97 
84 
445 

05 
111 
92 
91 
75 

65 

12 
20 
17 
16 
9 

84 

24 
25 
18 
20 
32 

159 

30 
40 
44 
39 
47 

357 

03 
100 

91 
100 

87 

335 

73 
79 
84 
86 
70 

169 
10 

1882 

13 

1883 

21 

1884 

26 

1885  ... 

22 

1881-1885 

1,365  5.27  1 

503 

101 
103 
108 
75 
72 

862 

175 
175 
182 
152 
126 

920 

181 
167 
198 
136 
123 

74 

16 
17 
16 
10 
16 

119 

24 
19 
20 
23 
19 

200 

36 
29 
25 
33 
19 

483 

100 
109 
124 
73 
59 

391 

73 
76 
64 
71 
63 

92 

1886 

276 
278 
290 
227 
198 

4.69 
4.38 
4.35 
8.63 

2.87 

27 

1887 

1888 

28 
35 
27 

1890 

22 

1,269 

185 
256 

las 

187 
197 

3.97 

2.80 
3.46 
2.44 
2.61 
2.61 

459 

83 
95 
72 
60 
82 

810 

102 
161 
111 
127 
115 

805 

121 
168 
113 
109 
105 

464 

64 
88 
70 
78 
92 

75 

18 
9 
8 
12 
17 

111 

16 
24 
10 
21 
17 

132 

26 
29 
19 
23 
16 

465 

65 
91 
83 
64 

87 

347 

41 
71 
93 
51 
51 

139 

1891 

19 

189',' 

32 

1893 

15 

1894 

16 

189.5 

9 

1891-1895  

1,008 
206 

2.78 

2.74 

392 

84 
51 
80 

2,898 

616 

122 
108 
119 

4,639 

1 

616 

112 
96 
185 

5,113 

392 

94 
63 
70 

2,424 

64 

8 
7 
9 

418 

94 

23 
9 
11 

656 

113 

13 

6 

30 

977 

340 

89 
69 
79 

2,497 

806 

57 
57 
56 

2,164 

91 

1800 

16 

1897 

159   2.24 

11 

1898 

205 
7,537 

2.97 
4.34 

20 

Total,  33  years.. 

825 

♦  Not  including  Providence  city. 


350  forty-sixth  registration"  report.  [1898. 

Peritonitis. 

There  were  11  deaths  which  were  caused  by  peritonitis  during 
1898. 

This  number  represents  .16  per  cent,  of  all  causes,  and  a  propor- 
tion of  .03  to  every  1,000  of  the  population. 

Sex. — Of  the  11  decedents  from  peritonitis  there  were  2  males 
and  9  females,  a  proportion  of  22  males  to  every  100  females. 

Parentage. — There  were  2  of  native  parentage  and  9  of  foreign, 
or  a  ratio  of  22  native  to  every  100  of  foreign  parentage. 

Season. — The  seasons  do  not  as  a  rule  have  a  notable  influence 
in  regard  to  the  mortality  from  peritonitis. 

Pneumonia. 

There  were  542  decedents  from  pneumonia  in  1898.  The  num- 
ber is  93  less  than  in  1897. 

This  number  represents  7.8  per  cent,  of  all  causes,  and  a  pro- 
portion of  1.3  to  every  1,000  of  the  population. 

Sex. — Of  the  542  decedents  from  pneumonia,  and  including 
congestion  of  the  lungs,  299  were  males  and  243  were  females ; 
or  about  81  females  to  every  100  males. 

Parentage. — By  parentage,  there  were  218  of  native  and  324  of 
foreign  parentage.  The  proportion  of  decedents  from  pneumonia 
was  about  67  of  native  to  each  100  of  foreign  parentage. 

Season. — There  were  258,  or  about  47  per  cent.,  of  the  deaths 
that  occurred  during  the  first  four  months  of  the  year.  The 
largest  mortality  by  months  was  83  in  March  and  83  in  De- 
cember. 

Pneumonia,  as  a  cause  of  death,  has  increased  in  the  ratio  to 
whole  number  of  deaths,  during  the  last  thirty-three  years,  from 
an  average  of  6.3  per  cent.,  during  the  first  ten  years,  to  an  aver- 
age of  8.8  per  cent,  during  the  last  ten,  including  1898. 

The  following  Table  presents,  for  each  of  the  last  thirty -three 
years,  the  number  and  the  percentage,  with  the  sex  and  the  par- 
entage of  the  decedents  from  pneumonia,  and  the  number  in  each 
year,  in  each  division  of  the  State  : 


1808.J 


CAUSES    OF    DEATfr, 


X'51 


Table  LXXXYI. 

Mortality  in  the  State  from  Pneumonia,  1SG6  to  1898,  incluaire. 


YEARS. 


5  years,  18GC-1870  928 


1871-1875. 

1876 

1877 

1878 

1879 

1880 

1876-1880.. 


1881 

1882 

1883 

1S84 

1885 

1881-1885. 


ISSG. 
1887. 
1888. 
1889. 
1890. 


1891 

1892 

1893 

189-1 

1895 

1891-1895. 


1896. 
1897. 
1898. 


1,331 

339 
226 
317 
311 
364 


1,557 

327 
344 
400 
363 
465 


1886-1890...  2,529 


1,899 

481 
488 
508 
483 
569 


568 
6,55 
776 
665 
685 


3,349 

669 
635 
542 


6.0 

6.5 

8.2 
5.1 
7.1 
7.4 
7.9 


7.0 

6.5 
7.2 
7.8 
7.1 
8.6 


8.2 
7.7 
7.T 
7.7 
8.2 


8.5 


10.4 


9.1 


Total,  33  years..  13,439 


9.2 

8.9 
8.9 

7.8 

7.7 


467 


164 
104 
143 
148 
180 


461 

664 

175 
122 
174 
163 
184 


739   818 


177 

178 
192 
167 
214 


928 

232 
260 
274 
255 


150 
166 
208 
196 
251 


1,309 

270 
335 
412 
344 
340 


971 

249 
228 
234 
228 
281 


298 
320 
364 
321 


PARENTAGE 


556 


162 
127 
176 
163 
177 


805 

190 
163 
198 
192 
271 


372 

548 

177 
99 
141 
148 
187 


1,014   885 


752 

137 
181 
202 
171 
194 


234 
227 
227 
213 
247 


1,220  i'  1,148 


247 
265 
319 
305 


247 
261 
281 
270 
822 


1,381 

321 
390 
457 


345  I   289  I  396 


1,701  1,648   1,425 


866 


308 


299   243 

I 

6,813  I  6,630 


1,924 


867 


274 
268 
218 

6,491  !  6,948 


DIVISIONS  OP  THE  STATE. 


99 


25 

8 

462 


Sx 


287   407 


166 

40 
57 
42 
47 
49 


125 

37 
89 
29 
29 


385 

97 
81 
110 
103 
92 


483 

81 

61 

108 

125 

151 


662 

163 
98 
140 
156 
192 


164 

70 
52 
49 
46 
25 


556 

161 
142 
171 
169 
206 


749 

174 
176 
204 
172 
227 


849 

183 
216 
232 
224 
243 


953 

209 
227 
219 
208 
246 


1,109 

232 
277 
392 
276 
292 


235 

242 

1,098 

1.469 

45 

39 

268 

256 

88 

86 

254 

251 

89 

41 

198 

241 

816 

856 

4,373 

6,097 

69 

97 

27 
16 
28 
15 
20 
106 

22 
21 
14 
26 
19 


102 

28 
40 
36 
22 
35 
161 

26 
35 
43 
54 

48 
206 

43 
36 
15 

835 


*  K.'cclusive  of  Providence  city. 


252 


FORTY-SIXTH    REGISTRATION    REPORT. 


[1898. 


Table  LXXXVII. 

Exliihiting  the  Number  of  Decedents  from  Pneumonia,  in  each  of  the  several  Periods 
of  Life,  during  each  of  the  last  thirty -three  years,  from  1S66  to  189S,  inclusive. 


Periods 

OF  Lirs. 

YEARS. 

s 

o 

id 
O 
o 

o 
o 

o 

i 

o 
^  ■ 
o 

o 
O 
o 

o 
o 

o 
-^-^ 
o 

CO 

o 

00 

o 
a 

•A 

o 

1866  

57 
57 
70 
64 
84 
71 
83 
105 
76 
130 
116 
79 
115 
102 
95 
103 
71 
88 
103 
121 
111 
133 
103 
120 
161 
126 
139 
176 
169 
172 
220 
194 
202 

4 
9 
4 
11 
6 
7 
5 
4 
9 
9 
5 
2 
9 
8 
18 
4 
3 
15 
14 
9 
10 
15 
20 
14 
7 

10 
10 
35 
19 
16 
20 
14 
11 

4 
2 
3 

1 
5 
2 
1 
8 
4 
3 
4 

4 
1 
3 
2 
4 
2 
5 
10 

7 
5 
3 

10 
4 
9 
8 
9 
9 
7 

10 
4 

5 
3 
3 
2 
4 
7 
7 
3 
6 
8 
3 
7 
10 
3 
16 
5 
14 
13 
11 
8 
19 
7 
15 
20 
12 
11 
10 
17 
18 
20 
17 
17 
9 

13 
10 
15 
11 
6 
10 
17 
10 
17 
22 
20 
15 
14 
14 
14 
15 
22 
32 
23 
23 
33 
32 
49 
37 
46 
42 
89 
49 
47 
49 
33 
33 
23 

10 
11 

8 
12 

7 
17 
20 
14 
17 
30 
20 
15 
17 
27 
33 
22 
36 
33 
34 
29 
35 
43 
48 
36 
55 
54 
69 
68 
56 
56 
55 
46 
39 

14 

13 

16 

9 

8 

16 
19 
16 
25 
35 
32 
34 
38 
36 
37 
36 
49 
40 
34 
50 
50 
51 
61 
51 
55 
60 
75 
96 
67 
77 
56 
58 
40 

21 
16 
18 
28 
14 
16 
22 
17 
21 
89 
35 
27 
20 
35 
46 
45 
33 
53 
33 
49 
58 
56 
62 
57 
55 
70 
74 
115 
73 
66 
71 
58 
58 

25 
25 
19 
25 
20 
35 
24 
24 
40 
61 
48 
22 
42 
38 
47 
48 
41 
49 
53 
76 
74 
64 
70 
77 
79 
84 
110 
102 
78 
94 
88 
73 
66 

33 
13 

27 
16 
19 
17 
19 
33 
27 
43 
39 
24 
45 
38 
43 
31 
46 
46 
37 
59 
55 
53 
54 
47 
54 
70 
71 
70 
77 
77 
66 
75 
54 

9 
13 
13 
11 

8 
19 
11 
10 

8 
28 
17 

9 
13 
19 
12 
36 
21 
27 
23 
29 
30 
28 
21 
31 
33 
37 
44 
50 
52 
49 
40 
57 
36 

1867 

1 

1868 

1869 

1870 

1871 

1 
1 

1872 

1 

1873 

1874 

1S75 

2 

1876 

1877 

2 

1878 

1879 

1880 

1881 

1 

1882 

4 

1883 

2 

1884 

1885 

4 
2 

1886 

1887 

1888 

1889 

1890 

2 

1891 

1892 

5 

1893 

1894 

1 

1895 

1896  

1 

1897 

1898 

Total,  38  years  . . . . 

3,804 

346 

160 

330 

823 

1,072 

1,304 

1,454 

1,816 

1,467 

883 

30 

IROS.]  CATTSKS    OF    I)r:ATTI.  253 

A(/e. —  Of  ihc.  (lecctlent«  from  imcuiiioiiia,  dmiiic;' the  ])orio(I  of 
tliii'ty-tlireo  yc.-irs,  28. 3  ])or  ('(Mit.  wore  iiiidtu'  5  years  of  iv^o.  Of 
over  tifty  years  of  a,L;e  tlie  imuiber  of  decedents  was  41.4  i)er  cent, 
of  the  whole  number.  Tho  foHowing  summary  will  present  the 
percentages  for  ISOS,  in  round  numhers  : 

Under  five  years  of  age 28  per  cent. 

Five  years  and  under  twenty,  and  not  stated G  per  cent. 

Twenty  years  and  under  fifty 24  per  cent. 

Fifty  years  and  over 42  per  cent. 


Scarlet  Fever. 

The  number  of  deaths  returned  as  having  lieen  caused  by  scarlet 
fever,  in  1898,  was  21.     The  number  is  8  less  than  in  1897. 

This  number  represents  .3  pev  cent,  of  all  causes,  and  a  propor- 
tion of  .05  to  every  1,000  of  the  population. 

Sex. — Of  the  21  decedents  from  scarlet  fever,  10  were  males  and 
11  were  females,  or  110  females  to  every  100  males. 

I\irentaije. — There  were  14  of  native  parentage  and  7  of  foreign, 
a  proportion  of  50  of  foreign  parentage  to  every  100  of  native. 

The  following  Table  will  present  the  statistics  of  scarlet  fever 
for  the  last  forty-three  years,  from  1850  to  1898,  inclusive,  the 
number  and  percentage  and  sex  of  the  decedents  from  scarlet 
fever,  and  the  number  from  scarlet  fever  in  each  division  of  the 
State.  It  also  shows,  from  1800  to  1898,  inclusive,  the  parentage 
of  the  decedents  from  scarlet  fever  : 


254 


i'ORTy-SlXTH   REGISTRATIOlSr   REPORT. 


[1  = 


Table  LXXXVIII. 

Mortality  in  tlie  State  from  Scarlet  Fever,  1S56  to  1898,  inclusim. 


YEARS. 


lOyrs.,  1856-1865. 


1866-1870. 


1871-1875. 


1876. 
1877. 
1878. 
1879. 
1880. 


1881 

1882 

1883 

1884 

1885 

1881-1885. 


1886. 
1887. 
1888. 


1890 

1886-1890. 


1891 

1892 

1893 

1894 

1895 

1891-1895. 

1896....... 

1897 

1898 


Total,  43  years. 


03 

n 

o 

CD 

a 

a 
o 

1,440 

5.2 

496 

3.2 

1,053 

5.1 

80 

1.9 

62 

1.4 

86 

1.9 

311 

7.4 

468 

10.0 

1,007 

4.5 

138 

3.0 

45 

0.9 

34 

0.6 

94 

1.8 

91 

1.7 

405 

1.6 

88 

1.5 

266 

4.2 

207 

3.1 

51 

0.8 

16 

0.2 

628 

2.0 

33 

0.5 

67 

0.9 

193 

2.6 

123 

1.7 

107 

1.4 

523 

1.4 

53 

0.7 

29 

0.4 

21 

0.3 

5,655 

2.8 

700 

231 

503 

34 
26 
41 
164 
215 


480 

79 
24 
17 
39 


195   210 


46 

120 

101 

24 

11 


30? 

17 
38 
86 
59 
52 


30 
15 
10 

2,718 


550 

46 
36 
45 
147 
253 


42 
146 
106 

27 
5 


16 
29 
107 


23 

14 
11 

2,937 


PARENTAGE. 

<6 
> 

u 

o 

t 

+ 

210 

286 

513 

540 

42 

38 

29 

33 

35 

51 

130 

181 

216 

252 

452 

555 

62 

76 

16 

29 

14 

20 

41 

56 

48 

43 

181 

224 

29 

59 

95 

171 

91 

116 

14 

37 

6 

10 

235 

393 

12 

21 

21 

46 

75 

118 

52 

71 

42 

65 

202 

321 

24 

29 

IS 

16 

14 

7 

1,844 

2,371 

DIVISIONS  OF  THE   STATE. 


'E  o 


26 


1 

2 

6 

40 

3 

1 

1 

1 

200 


Mo 


11         25 
3 


350 


191 


27 


22 


4 
3 
2 
3 

12 

1 
4 
1 

384 


u  o 


414 


142 


21 
21 
14 
37 
143 
236 


41 

7 

9 

28 

24 

109 

41 
80 
87 
14 
2 


224 

9 
20 
68 
55 
37 
189 

9 
10 
13 


634 


236 


35 

12 

57 

255 

243 


602 

45 
18 
16 
57 


30 

154 

80 

25 

8 

297 

17 
38 
97 
56 


271 

33 
12 
4 

2,797 


*  Exclusive  of  Providence  city. 


+  Records  incomplete. 


1898.] 


CAUSKS   OK    DEATH. 


255 


Ciiour,  DiriiTiiERiA,  and  Scarlet  Fever. 
SiViNon  and  Mortdlity. 

The  followino-  Table  is  coutinucd,  to  show  by  coiuparisou  the 
influence  of  season  in  reg-ard  to  the  mortality  from  croup  and 
scarlet  fever  for  forty-five  years,  and  diphtheria  for  forty-one 
years.  The  Table  will  give  the  average  monthly  and  quarterly 
percentages  of  deaths  from  each  cause  : 

Table  LXXXIX. 


MONTHS. 


January 

February  

March 

First  Quarter. . . 

April 

May 

June 

Second  (>uarter 

July 

August 

September 

Tliinl  Quarter.. 

October 

November 

December 

Fourth  (Quarter 
Total.s 


CROUr. 
1853-1898. 


39T 
349 

287 


231 
164 
139 


534 

107 
89 
185 


381 

331 
411 
433 


3.153 


12.59 
11.07 
9.10 


32.76 

7.33 
5.20 
4.41 


16.94 

3.39 

2.83 
5.87 


13.08 

10.50 
13.99 
18.73 


38.22 


100.00 


DIPnTHEKIA.       SCARLET  FEVER. 
1858-1898.  1853-1898. 


J3  * 


501 
421 
447 


1,429 

400 
401 
341 


1,142 

320 
343 
483 


1,096 

725 
754 
644 


2,123 


5.790 


9.09 
7.27 
7.72 


24.68 

6.91 
6.92 
5.89 


19.78 

5.53 
5.92 
7.48 


18.93 

12.52 
13.02 

11.13 

30.(17 
100.00 


704 
633 


2,112 

544 
563 

484 


1,591 

365 
801 
318 


984 

437 
534 
690 

l.tiCl 
6,348 


13.21 
11.09 
9.97 


33.27 

8.57 
8.87 
7.62 


25.06 

5.75 
4.74 
5.01 


15.50 

6.89 
8.41 
10.87 


26.17 


256  fokty-sixth  eegistration  report.  [1898. 

Suicide, 

The  number  of  deaths  by  suicide,  in  Rhode  Island,  during-  1898, 
was  46,  which  is  5  more  than  in  the  preceding  year. 

There  were  38  male  and  8  female  decedents  from  that  cause,  or 
a  proportion  of  nearly  5  males  to  every  1  of  the  females. 

Of  the  46,  20  were  of  native  parentage  and  26  of  foreign. 

The  means  of  self-destruction,  according  to  the  returns,  were 
as  follows : 

By  arsenic,  1  case  ;  by  carbolic  acid,  4 ;  by  cyanide  of  potassium, 
2  ;  by  cutting  throat,  2  ;  by  drowning,  8  ;  by  hanging,  9  ;  by  illum- 
inating gas,  4  ;  by  jumping  from  window,  1 ;  by  laudanum,  1 ;  by 
"  paris  green,"  3  ;  by  "  rough  on  rats,"  1 ;  by  shooting,  8  ;  by  strych- 
nine, 1 ;  by  unknown  poison,  1. 


1808.] 


CAU.SK8    OF    DKATir. 


257 


Taule    XC. 
Mortality  in  the  State  from  SuiQide,  1806  to  1898,  inclimve. 


89 

18 
22 

21 

13  I 

10  1 

84  j 

I 
23  i 

31 

25 

22 

20 


121 

17 
16 
21 
24 
19 


Total,  33  years.. 


41 
46 

758 


.56  I 

.43  \ 

j 

.46  j 

.52  I 

.50  I 

..31  I 

.20 

.38 

.49 
.64 
.47 
.48 
.37 
.47 

.29! 
.25  i 
.42 
.38 


.30 

.61 
.26 
.38 
.63 
.41 


.46 

.51 
.58 
.67 

.44 


67 


84 


22 


118 

28 
SS 


587 


28 


22 


10 
8 
8 

171 


PARENTAGE. 

1 

1 

66 

20 

57 

32 

6 

12 

15 

7 

12 

9 

5 

8 

8 

2 

46 

38 

15 

8 

23 

8 

11 

14 

13 

9 

11 

9 

73 

48 

12 

5 

8 

8 

15 

6 

9 

15 

12 

7 

56 

41 

15 

25 

10 

9 

10 

11 

24 

21 

18 

18 

72 

84 

20 

18 

21 

20 

1   20 

26 

431 

827 

DIVISIONS  OF  THE  STATE. 


It 

.22  3 
Co 

nu 


P  s 
<o  a 

MO 


28 


^5 
©  o 


13 


20 


26 


8 


30 


10 
6 
7 
5  i  14 
5 
14 

2 
5 
4 

68 


oS" 


84 


48 


5  10 

5  12 

5  7 

5  7 

6  2 


38 


14 

12 

8         15 

6         11 

3  6 

25 


58 

4  ;  7 

5|  7 

6  I  9 

7  10 


^5 


10 


38 

5 

24 

2 

8 

1 

12 

5 

13 

42 

™  . 

11 

20 

11 

18 

14  ' 

24 

no 

349 

19  3 

3 
9 

2 
3 
1 

53 


82 


♦  Exclusive  of  I'rovidence  city. 


258  FORTY-SIXTH    REGISTRATION    REPORT.  [1898. 

WHOoriNG  Cough. 

The  number  of  deaths  from  whooping  cough,  returned  in  1898, 
was  40  more  than  the  number  in  1897. 

Of  the  96  decedents  from  whooping  cough,  37  were  males  and 
59  were  females. 

There  were  50  decedents  of  native  parentage  and  46  of  foreign, 
or  a  proportion  of  109  of  native  to  100  of  foreign. 

Ninety-three  of  the  decedents  were  under  5  years  of  age. 

The  following  Table  will  present  the  mortality  from  whooping 
cough,  for  thirty-three  years,  1866-1898,  inclusive,  with  the  death 
rate,  sex,  parentage,  etc.,  of  the  decedents  : 


1898. 


CAUSES    OK    DFATir. 


25fl 


Table  XCI. 

Mortality  in  the  State  from  Whooping  Cough,  18G5  to  ISOS,  inclunirr. 


P 

o 

B 
3 
S5 

s 

o 
.99 

SKX. 

PARENTAGE. 

11 

li 

DIVISIONS  OF  THE 

STATE 

YEARS. 

CD 

"3 
S 

i 
1 

d 

1 

£5 

/ 

a  s 

«  o 

14 

0 

a* 

si 

1   54 

«> 

<s 

a 
a 
•0 

63 

a 
0 

"Sd  . 
ISO 

5  years,  18CO-1870 

153 

1 
■    78 

75 

68 

85 

2 

13 

7 

1871-1875 

160 

.78 

65 

95 

64 

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4 

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13 

56 

78 

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32 
54 
43 
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19 
18 
26 
17 
10 

29 
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26 
10 

20 
6 

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22 
7 

85 

28 
26 
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5 

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2 

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15 

9 
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43 
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1878 

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1879 

4 

1880 

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15 

1876-1880 

197 

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90 

107 

112 

5 

49 

116 

7 

1881 

68 

1.36 

33 

35 

30 

38 

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1882 

71 

1.40 

83 

38 

32 

39 

4 

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43 

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6 

17 

3 
26 

5 
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6 

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28 

1884 

2 

2 

1885 

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23 

19 

24 

18 

i 

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24 

4 

1881-1885 

233 

.90 

112 

121 

114 

119 

6 

7 

8 

69 

136 

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1 
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28 

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82 

4 

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1887 

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.75 

9 
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27 

10 
16 

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38 

36 

41 

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1890 

70 

1.00 

25 

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25 

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30 

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261 

82  i 

118 

143 

104 

157 

7 

20 

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82 

134 
54 

4 
1 

1891 

77 

1.16 

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38 

37 

40 

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10 

15 

14 

11 

1 

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n 

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1894 

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1.80 

52 

77 

62 

67 

3 

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55 

1895 

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26 

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299 

.84 

128 

171 

135 

164 

7 

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76 
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152 

24 

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56 

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27 

29 

26 

80  1 

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1898 

96 

1.39  I 

87 

59 

50 

46 

24 

57 

Total,  83  years.. 

1 
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1 

1 
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680 

834 

670 

844 

1 

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103 

440 

772 

51 

•  Exclusive  of  Providence  city. 


260 


-^FORTY-SIXTH   REGISTRATION   REPORT. 


[1898. 


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CAUSES   OF    DEATH. 


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262 


T'ORTY-Sr^iTH   EEGISTRATION   REPORT. 


[1898. 


Table  XCIII.— BIETHS. 

Occupations  of  the  Fathers. — 1898. 


OCCUPATIONS. 


Actors 

Agents  and  Canvassers 

Architects 

Army  Officers 

Artesian  "Well  Sinkers 

Artists 

Assayers  and  Analytical  Chemists 

Baggage  Masters 

Bakers 

Bankers  and  Brokers 

Bank  Officers 

Barbers 

Bartenders 

Base  Ball  Players 

Belt  Makers 

Bobbin 

Boiler 

Bolt 

Box 

Brick 

Brush  

Cabinet 

Cap 

Carriage,  and  Trimmers 

Cigar 

Clock  and  Watch 

Comb 

Core 

Film 

Harness  and  Saddle 

Hoop 

Mattress 

Pattern 

Reed  and  Harness ■ 


3 

18 
6 
1 
1 
3 
6 
5 

83 

18 

3 

110 

29 
1 
3 
4 

27 
6 

10 
7 
4 

30 
1 


OCCUPATIONS. 


Sail  Makers 

Sash  and  Blind 

Screw 

Soap 

Shoe 

Shuttle 

Spectacle 

Spindle 

Tool 

Wringer 

Blacksmiths 

Bleachers  and  Fullers 

Boat  Builders 

Boatmen 

Bookbinders 

Bookkeepers 

Bootblacks 

Bottlers 

Brakemen 

Brewers 

Brick  and  Stone  Layers. . . 
Butchers  and  Marketmen. 

Butlers 

Cab  Drivers  and  Hackmen 

Calenderers 

Carders 

Card  Grinders 

Carpenters 

Chasers 

Civil  Engineers 

Clergymen 

Clerks  and  Salesmen 

Clothiers 

Coachmen 


1898. 


IIIKTIIS. 


203 


Tahle  XCIII.— Continued. 


Coal  and  Wood  Bealers 

Dry  Goods 

Fisli  and  Oyster 

Furniture 

Grain 

Granite 

Hardware 

loe 

Junk 

Leatlier 

Liquor 

Lumber 

Mineral  Water 

News 

Paper 

Provision 

Shoe 

Collectors 

Commercial  Travelers 

Compositors 

Concreters 

Conductors  and  Motormen.. . 

Confectioners 

Contractors  and  Builders 

Cooks  and  Caterers 

Coopers — 

Coppersmiths 

Cutters 

Cutters  (Velvet) 

Decorators 

Dentists 

1  )esiKuers 

Die  Cutters 

Die  Sinkers 

Draughtsmen 

Drivers 

I>ruf,'gisls  and  Apothecaries  . 
Dyers , 


2 

6 

9 

12 

84 

7 

3 

G2 

20 

27 

84 

5 

2 

2 

5 

5 

18 

5 

2 

4 

14 

46 

22 

59 


Electricians 43 

Electrotypists 1 

Elevatormen 4 

Enamelers 3 

Engineers  and  Firemen 186 

Engravers 21 

Expressmen 36 

Farmers 334 

File  Cutters 42 

File  Forgers 8 

Finishers 11 

Brass 6 

Fire  Company  Members 14 

Fishermen  and  Oystermen 43 

Fish  Culturists l 

Florists I  7 

Folders I  14 

Foundrymen 2 

Fruiterers 15 

Furriers 1 

Gardeners 51 

Gas  Fitters 5 

Glass  Workers 1 

Grocers 124 

Grooms 1 

Hatters 1 

Heaters i  3 

Horse  Dealers 4 

Horse  Trainers 1 

Hostlers 55 

Hotel  and  Inn  Keepers 1 

Saloon  and  Restaurant 37 

Icemen 8 

Inspectors 20 

Interpreters 1 

Insurance  Agents 40 

Real  Estate t 

Inventors 1 


264 


FORTY-SIXTH    EEGISTRATION    REPORT. 

Table  XCIII. — Continued. 


[1898. 


OCCUPATIONS. 


Iron  Rollers  and  Workers 

Janitors 

Jewelers 

Journalists  (Editors  and  Reporters) . . 

Journeymen 

Knitters 

Laborers 

Lamplighters 

Lathers 

Laundrymen 

Lawyers 

Linemen 

Longshoremen 

Loom  Fixers 

Machinists 

Mail  Carriers 

Managers 

Manufacturers 

Mariners 

Masons 

Mechanics 

Melters 

Merchants 

Messengers 

Milkmen 

Millwrights 

Moulders 

Musicians 

Nurses 

Operatives 

Opticians 

Painters 

Carriage 

Paper  Hangers 

Pavers 

Pearl  Workers 

Peddlers 

Photographers  and  Lithographers  — 


13 

34 

186 

9 

15 

4 

1,573 

6 

3 

8 

16 

11 

27 

455 

13 

16 

27 

9 

111 

44 

3 

103 

5 

20 

2 

105 

13 

1 

,201 

1 

206 

7 

5 

4 

9 

138 

13 


OCCUPATIONS. 


Physicians 

Piano  Movers 

Pilots 

Plasterers  and  Stucco  Workers 

Platers 

Electro ...   

Gold 

Plumbers 

Polishers 

Gold 

Silver 

Polo  Players 

Pork  and  Meat  Cutters  and  Pork  Packers 

Porters 

Postmasters 

Pressmen 

Printers 

Proofreaders 

Property  Men •. 

Public  Officers 

Publishers 

Railroad  Officials 

Employees 

Refiners 

Gold., 

Riggers 

Roll  Coverers 

Roofers 

Rubber  Workers 

Sailors 

Sculptors 

Sea  Captains  and  Ship  Masters 

Secretaries 

Servants 

Sextons : 

Sheriffs,  Constables,  and  Policemen  — 

Ship  Carpenters 

Showmen 


1898.] 


I )i;  AT  IIS, 


2G5 


Table  XCIII.— Continued. 


OCCUPATIONS. 


Silversmiths 

Slaters 

Soldiers 

Stable  Keepers 

Stampers 

Stair  Huildcrs 

Station  Agents 

Steam  I'ipcrs 

Stenographers 

Stereotypcrs  

Stevedores 

Stewards 

Stone  Cutters  and  Marble  Workers 

Store  Keepers 

Stove  Fitters  and  Mounters 

Students 

Surveyors,  Highway 

Superintendents  and  Overseers 

Switchmen 

Tailors 

Tanners  and  t  'urriers 


57 
3 

2.3 
6 
5 
1 
3 

15 
1 
2 
3 
1 

23 

4 

1 

1 

106 

14 


OCCUPATIONS. 


Taxidermists 

Teachers  and  Professors 

Teamsters 

Telephone  and  Telegraph  Operators. 

Tinsmiths 

Tobacconists 

Treasurers 

Type  Setters 

Type  Writers 

Undertakers 

Upholsterers 

Valets 

Veterinary  Surgeons 

Waiters 

Watchmen 

Wheelwrights 

WMre  Workers 

Wood  Finishers 

Wood  Turners 

Wool  Sorters 


1 

3r> 
81. S 

2 
30 
1 
5 
3 
2 
12 
22 
2 
4 

16 
34 
12 

9 
14 
13 


33 


266 


FORTY-SIXTH    REGISTRATION   REPORT. 


[1898. 


Table  XCIV.— MAEEIAGES. 

Occupations  of  the  Grooms. — 1898. 


OCCUPATIONS. 


Actors 

Agents  and  Canvassers 

Architects  

Artists 

Baggage  Masters 

Baliers 

Bankei's  and  Brokers 

Bank  Officers 

Barbers 

Bartenders 

Belt  Makers 

Bobbin 

Boiler 

Bolt 

Box 

Brick , 

Cabinet 

CaiTiage,  and  Trimmers 

Cigar 

Clock  and  Watch 

Core 

File 

Harness  and  Saddle 

Hat 

Paper 

Pattern 

Reed 

Sail 

Shoe 

Soap 

Spectacle 

Spindle , 

Spool 

Tool 


^.  i 

s 

OCCUPATIONS. 

u 

a 

6 
14 

1 

3 

3 
31 

4 

5 
35 
14 

1 

5 

^ 
2 

6 

3 

9 

7 

3 

4 

1 

8 

3 

1 

1 

3 

1 

1 

9 

1 

1 

1 

S 

14 

Wringer  Makers  

2 

48 

Bleachers  and  Fullers 

9 

4 

Bookbinders 

3 

43 

Bootblacks 

1 

Bottlers 

4 

Brakemen 

8 

Brass  Workers 

1 

Brewers 

2 

Brick  and  Stone  Layers 

Building  Movers 

5 
1 

24 

Butlers 

1 

Cab  Drivers  and  Hackmen 

Calenderers 

2 

1 

Carders ■. 

7 

1 

Carpenters 

117 

Chasers 

4 

4 

Civil  Engineers 

2 

11 

Clerks  and  Salesmen 

358 

4 

28 

2 

1 

5 

Furniture 

2 

4 

1 

1 

ISflS.] 


^r  Ai;ur.\f;F,s. 
Table  XCIV.— Continued. 


267 


0C<  ri'ATIONS. 


.Funk  Dealers 

Leather 

Liquor 

News 

Jfonument 

Paint  and  Varnisli 

Piano 

Provision 

Shoe 

Collectors 

Commercial  Travelers 

Compositors 

Conductors  and  Motormen.. 

Confectioners 

Contractors  and  Builders. . . 

Cooks  and  Caterers 

Coopers 

Coppersmiths 

Cutters 

Decorators 

Dentists 

Designers 

Die  Sinkers 

Draughtsmen 

Drivers 

Druggists  and  Apothecaries 

Dyers 

Electricians 

Elevatormen 

Enamelers 

Engineers  and  Firemen 

Engravers 

Etymologists 

Expressmen 

Farmers 

File  Cutters 

File  Forgers 

Finishers 


Number. 

1 
2    , 

1   ;i 

6 

OC<'L  I'ATIONS, 


4 
1 
1 

1 
5 
5 

16 
3 

32 
4 
8 

16 
1 
2 
2 
2 
5 
4 
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19 

22 

29 
7 
2 
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1 
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8 
1 
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Finishers,  Brass T) 

Fishermen  and  Oystermen 13 

Fire  Company  Members 2 

Flagmen,  Kailroad 1 

Florists 7 

Folders a 

Foundrymen    6 

Fruiterers 4 

Gardeners 22 

Gilders i 

Grocers 25 

Hatters i 

Horse  Trainers 1 

Hostlers 30 

Hotel  and  Inn  Keepers I  7 

Saloon  and  Restaurant ,  0 

Icemen l 

Inspectors j  7 

Insurance  Agents I  16 

Real  Estate i  3 

Iron  Workers ,  2 

Janitors j  15 

Jewelers 88 

Jobbers i 

Journalists  (Editors  and  Reporters) :  5 

Knitters i  g 

Laborers j  349 

Lathers |  3 

Laundrymen j  6 

Lawyers :  12 

Life  Saving  Service  Men i 

Linemen lo 

Longshoremen .■) 

Loom  Fixers !  11 

Lumliermen l 

Machinists 1.S7 

Mail  Carriers ;  6 

Managers I  11 


268 


FORTY-SIXTH    REGISTRATION    REPORT. 

Table  XCIY.— Continued. 


[1898. 


OCCUPATIONS. 


Manufacturers 

Mariners 

Masons 

Mechanics 

Merchants 

Milkmen 

Millers 

Moulders •  •  •  • 

Musicians 

Nurses , 

Operatives 

Opticians 

Organists 

Painters  and  Glaziers 

Painters,  Carriage, 

Paper  Hangers 

Pavers 

Paymasters 

Pearl  Workers 

Peddlers 

Photographers  and  Lithographers. . . 

Physicians 

Piano  Movers 

Tuners 

Planters 

Plasterers  and  Stucco  Workers 

Plumbers 

Polishers 

Pork  and  Meat  Cutters  and  Pork  Packers 

Porters 

Postmasters 

Pressmen 

Printers 

Public  Officers 

Railroad  Employees 

Refiners,  Gold . . , 

Roll  Coverers 


OCCUPATIONS. 


Roofers 

Rubber  Workers 

Sailors 

Sea  Captains  and  Ship  Masters 

Servants 

Sextons 

Sheriffs,  Constables,  and  Policemen 

Silversmiths 

Soldiers 

Stable  Keepers 

Stair  Builders 

Stampers 

Station  Agents 

Stationers 

Steam  Eipers 

Stereotypers 

Stevedores 

Stewards 

Stone  Cutters  and  Marble  Workers. 

Store  Keepers 

Students 

Superintendents  and  Overseers 

Switchmen  and  Gatemen 

Tailors 

Tanners  and  Curriers 

Teachers  and  Professors 

Teamsters 

Tinsmiths 

Trout  Culturists 

Undertakers 

Upholsterers 

Waiters , 

Watchmen 

Wheelwrights 

Wire  Workers 

Wood  Turners 

Wool  Sorters 


1898.] 


DEATHS,    BY   OCCUPATION'. 


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[1898. 


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CAUSES    OF    DEATH. 


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Apoplexy  and  Paralysis 

Brajn,  Diseases  ol 

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THE  RETURNS  OE  THE  MEDICAL  EXAMINERS. 


The  number  of  deaths  investigated  by  the  medical  examiners 
during  the  year  1898  was  383.  These  deaths  resulted  from  sudden, 
suspicious,  unknown,  and  violent  causes.  Of  this  number  21)G,  or 
77.3  per  cent.,  were  males  ;  and  87,  or  22.7  per  cent.,  were  females. 

HoMicroE. — The  number  of  deaths  from  homicide  was  12,  or  3.1 
per  cent,  of  the  whole  number  investigated.  Of  the  12  cases  from 
homicide,  5  were  by  violence  to  head,  2  by  pistol  shot  wound  of 
heart,  1  by  pistol  shot  wound  of  intestines,  1  by  stab  wound  of 
thorax,  1  by  broken  neck  (body  found  in  water),  1  drowning,  caused 
by  being  pushed  oft'  pier.  In  three  cases  the  assailants  were 
brought  to  trial,  convicted,  and  sentenced.  In  1  case  the  jury 
disagreed  twice  and  the  case  is  still  on  tile.  In  2  cases  it  was 
called  "justitiable  homicide,"  as  the  shooting  in  each  case  was 
found  to  have  been  done  in  self-defense. 

SuicroE. — The  number  of  deaths  by  suicide  reported  by  the 
medical  examiners  in  1898  was  41,  or  10.7  per  cent,  of  the  whole 
number  examined.  Death  was  caused  as  follows  :  By  drowning, 
8 ;  shooting,  6  ;  hanging,  7  ;  illuminating  gas,  3  ;  arsenic,  1 ;  car- 
bolic acid,  3;  cyanide  of  potassium,  2 ;  Paris  green,  2;  "Kough 
on  Eats,"  1;  strychnine,  1;  poison  unknown,  2;  cutting  throat,  2; 
jumping  from  window,  1 ;  by  throwing  self  in  front  of  engine,  1. 

Accidents. — The  returns  of  the  medical  examiners  shoAv  203 
deaths  from  accidents,  specitied  as  follows :  Asphyxia,  17 ; 
*bicycle,  5;  burns  and  scalds,  11;  drowning,  57;  electric  car,  5 ; 
^elevator,  4 ;  exposure  to  cold  and  storm,  4  ;  falls,  26 ;  fire-arms,  3 ; 
lightning,  1 ;  machinery,  G  ;  poison,  8  ;  railroad,  28  ;  shock  from  elec- 
tric light  ciirrent,  1 ;  vehicular,  G;  insolation,  10 ;  1  each  by  fall  of 
boiler  in  brewery,  injury  to  head  during  drunken  row,  crashed  by 
falling  grindstone,  struck  by  falling  tree,  crushed  between  car  iuid 
post  (a  coal  wharf  casualty),  hit  by  derrick  bt)om  (fractured  skull), 
kicked  by  a  hoi-se,  injured  (ruptured  bladder)  while  playing  foot- 
ball, injured  while  trying  to  stop  runaway  horse,  hangoil  while  in 
play ;  and  1  unknown  accident. 

*  See  page  1!12  of  this  report. 


278  FORTY-SIXTH    EEGISTRATIOK   KEPORT.  [1898. 

Asphyxia,  17. — Eight  (infants)  by  becl-clotlies  and  overlaying" ; 
1  by  caving  of  sewer  trench ;  2  by  food  in  larynx ;  3  by  illumina- 
ting gas;  2  by  smoke  in  burning  building;  1  (infant),  cause 
unknown. 

Burns  and  Scalds,  11. — In  burning  building,  4 ;  by  clothes  taking 
fire  from  stove,  1 ;  by  explosion  of  lamp,  1 ;  by  explosion  of  kero- 
sene stove,  1 ;  from  a  dump  fire,  1 ;  upset  dish  of  hot  water,  1 ; 
playing  with  matches,  2. 

Drowning,  57. — Twelve  were  bathing  or  swimming;  9  were 
drowned  by  capsizing  of  boats ;  4  fell  overboard  from  small  boats ; 
1  was  drowned  while  swimming  horse  in  bay ;  1  fell  into  water 
from  railroad  bridge ;  1  from  oyster  boat ;  1  from  raft ;  1  from 
steamer ;  3  fell  into  water  while  playing  on  edge ;  1  while  riding 
a  bicycle  on  scow  was  precipitated  into  water ;  1  through  ice  ;  1  fell 
into  uncovered  cistern  ;  1  (child)  in  bath-tub  which  mother  used  as 
a  wash-tub  ;  20  were  found  in  water,  circumstances  of  the  drowning 
unknown. 

Electric  Car,  5. — ^By  falling  from  car,  1 ;  run  over  while  rolling 
hoop  across  track,  1 ;  struck  by  cars  while  walking  on,  or  crossing, 
tracks,  3. 

Falls,  26. — From  building,  1  ;  from  ladder  or  staging,  3 ;  down- 
stairs, 11 ;  from  embankment,  1 ;  from  horse,  1 ;  from  tree,  1 ;  from 
load  of  hay,  1 ;  on  ice,  1 ;  from  window,  3 ;  on  floor  or  ground,  3. 

Poison,  8. — By  ammonia,  1 ;  overdose  of  chloral  hydrate,  1 ' 
corrosive  sublimate,  2 ;  overdose  of  morphine,  2 ;  muriate  of  zinc, 
1 ;  turpentine,  1. 

Machinery,  6. — The  ages  of  the  victims  of  machinery  accidents 
were  24,  38,  48,  58,  58,  and  62  years. 

The  following  cases  are  deemed  worthy  of  special  mention : 

Accidental  Drowning.— A  young  man  was  riding  a  bicycle  on  a 
scow  in  the  Pawcatuck  river,  no  one  being  on  the  scow  but  him- 
self. He  evidently  struck  the  coaming  of  the  scow,  and  both  he 
and  the  bicycle  were  precipitated  into  the  water.  His  cry  was 
heard  by  comrades  on  the  dredger  close  by,  but  they  were  unable 
to  recover  body  until  life  was  extinct. 

Accidental  Hanging. — Deceased  (a  boy  16  years  old)  had  been 
alone  with  his  mother  during  the  afternoon,  engaged  in  playing 
games.  Mother  retired  to  an  adjacent  room  to  do  machine  sewing. 
Soon  after  coming  out  into  the  kitchen,  found  son  with  a  rolled 
sheet  about  his  neck,  and  sportive  in  his  manner.  Mother  said 
she  laughed  at  him,  and  returned  to  her  work.     Coming  out  again 


1898.] 


RETURNS   OF    MKDK'AI,    KXA  MIXF.US. 


2V.i 


soon,  she  found  deceased  suspended  from  an  open  door,  l»y  pait 
of  !i  clotlios  line. 

The  whole  number  of  deaths  by  aec'ideid  in  the  State;  (birinj^ 
18t)8  was  25)(),  showing  that  there  were  93  deaths  by  accident  where 
no  medical  examiner  was  called.  In  these  cases  a  i)hysician  had 
been  in  attendance  and  had  reported  the  cause  of  death.  In 
many  instances  the  death  was  not  immediate. 

The  division  of  these  290  deaths  by  accident  was  as  follows: 
(See  pages  20  and  21  of  this  report)  Asphyxia,  19;  bicycle,  4; 
burns  and  scalds,  21 ;  drowning,  GO ;  electric  car,  7 ;  elevator,  4 ; 
exposure,  7 ;  falls,  58 ;  fire-arms,  9 ;  insolation,  23 ;  lightning,  1 ; 
machinery,  5  ;  poison,  11 ;  railroad,  30 ;  other  and  various,  37.  (See 
page  193  of  this  report).) 

A  comparison  of  these  figures  with  the  cases  of  accidents  which 
are  viewed  by  the  medical  examiners  will  show  the  cases  which 
are  more  open  to  suspicion  of  avoidable  violence.  The  ditference 
(32)  is  more  marked  under  the  cause  of  "falls." 

Under  sudden  deaths  which  were  investigated  by  medical 
examiners,  were  as  follows  :  Alcholism,  15  ;  apoplexy  and  cerebral 
hemorrhage,  10 ;  bronchitis,  1 ;  childbirth,  2  (includes  1  puerperal 
septica'mia) ;  cholera  infantum,  2 ;  convulsions  (infantile),  1 ;  de- 
bility from  malnutrition,  1  (adult)  ;  debilitj^  (infantile)  from  mal- 
nutrition and  neglect,  7  ;  heart  disease,  39 ;  hydrocephalus,  1 ; 
indigestion  (infantile),  4 ;  influenza,  1 ;  malaria,  1 ;  measles,  1  ; 
meningitis,  5  ;  cerebro-spinal  meningitis,  1 ;  chronic  nephritis,  3; 
(fdema  of  lungs,  1 ;  old  age,  4;  pneumonia,  8  ;  premature  l)irth,  ]  ; 
pulmonary  hemorrhage,  1 ;  pulmonary  tuberculosis,  5 ;  whooping 
cough,  1 ;  unknown  natural  causes,  6;  still-born,  5. 


Nuviher  and  Per  cent,   of  Each  Group  of  Cases    Viewed  by  Medical  Examiners — 

1804-1S9S. 


1 
YEARS. 

1 
Homicide. 

1                             ' 
Suicide. 

Accident 

or 

Negligence. 

Number. 

Per  cent. 

Q 

a 

a 
a 

C 

<u 

a 

o 
15 

1 

(Li 

1894 

9 
6 

12 
12 

3.1 
1.7 
0.3 
3.4 
3.1 

45 
31 
27 
32 
41 

15.6 
8.5 
8.8 
9.2 

10.7 

141 
223 

157 
203 

49.0 
61.4     I 
54.3 
45.1 

68.0    1 

1 

1895 

1896 

1897 

1898 

Natural  and 

I'nknowu  Causes. 

Includiug  Alcoliul- 

ism. 


93 
1U3 
121 
147 
127 


« 

32.3 
28.4 
37.1 
42.3 
38.2 


288 
363 
326 
348 


APPENDIX   A. 


NOMENCLATURE  OF  DISEASES, 


OB 


CAUSES  OF  DEATH. 


XAMKS  OF  CAUSES  Ol     DKATII. 


It  should  be  stated  that  the  nomenclature  of  diseases  in  the  nos- 
olog-ical  arrangement  on  the  following-  pages  is  not  intended  to 
include  the  names  of  the  whole  list  of  morbid  phenomena  aflect- 
ing  the  human  organism,  but  the  names  of  such  only  as  are  directly 
the  cause  of  death,  or  such  as  ordinarily  predispose  to  or  set  in 
motion  the  morbid  processes  that  end  in  death. 

The  classiticatiou  which  has  appeared  in  the  previous  issues  of 
this  report,  and  which  was  the  result  of  a  report  of  the  committee 
of  the  Royal  College  of  Physicians  of  England,  has  been  modified 
to  accord  with  the  changes  which  have  taken  place  in  our  knowl- 
edge of  the  pathological  causation  of  diseases  since  that  classifi- 
cation was  made. 

The  changes  which  have  been  made  apply  more  especially  to 
Group  One,  the  title  of  which  has  been  changed  from  Miasmatic 
to  Communicable,  and  has  absorbed  all  of  Group  Two,  which  was 
known  as  the  Euthetic  group.  This  included  glanders,  gonor- 
rli(va,  hydrophobia,  malignant  pustule,  septicaemia,  and  sj'philis, 
all  of  which  are  at  the  present  day  considered  as  communicable 
diseases,  and  probably  dependent  upon  a  morbific  entity  which  in 
some  of  these  diseases  has  been  demonstrated. 

In  Group  Two  delirium  tremens  has  been  dropped  to  the  sup- 
plementary list,  being  but  a  symptom  or  a  result  of  the  condition 
of  alcholism,  which,  while  not  strictly  correct,  is  j^et  more  com- 
prehensive in  covering  this  class  of  causations. 

Apth;c,  worms,  and  other  parasites  should  be  classed  as  commu- 
nicable, the  parasites  being  of  a  higher  order  than  those  produc- 
ing diphtheria  and  cholera,  and  are  dropped  from  this  class. 

As  dropsy  is  a  result  or  symptom  rather  than  an  immediate 
cause  of  death  it  has  been  left  out. 

Gangrene,  occurring  in  old  age,  has  been  transferred  to  the 
group  Developmental  Diseases  of  Old  Age.  Other  conditions 
where  gangrene  is  found  have  been  traced  satisfactorily  to  trau- 
matisms, or  diseases  of  the  circulatorj'^  system. 

In  Class  III,  in  the  group  of  diseases  of  the  Nervous  System, 
cephalitis  has  been  dropped  as  being  obsolete.  Convulsions  has 
been  transferred  to  the  grou])  of  D«nel<~)])mental  Diseases  of  Cliil- 


284  APPEITDIX. 

dren,  all  siicli  deaths  having-  been  found  to  be  within  these  age 
periods. 

From  the  group  of  the  Respiratory  System  pneumonia  has  been 
transferred  to  the  list  of  Communicable  diseases. 

In  Group  Four,  of  the  Digestive  System,  appendicitis  has  been 
introduced  as  being  a  sufficiently  distinct  and  frequent  disease, 
and  concerning  which  statisticians  will  desire  information  as  to 
the  mortality  therefrom.  Peritonitis,  being  a  sequel  of  a  traumatic 
or  a  septic  condition,  is  usually  traceable  to  a  primary  cause  if 
inquired  into.  AVhen  no  specific  cause  is  obtainable  it  is  jjlaced 
under  causes  ill-defined.  Ascites,  being  a  secondary  cause,  is  rel- 
egated to  causes  ill-defined,  unless  the  original  cause  of  the  ascites 
can  be  ascertained.  Hernia  is  retained  in  this  group,  rather  than 
in  the  group  of  Accidents  and  Negligence.  Other  new^diseases 
which  are  introduced  into  this  group  as  being  now  more  specifi- 
cally diagnosticated,  are  obstruction  of  the  bowels,  colitis,  entero 
colitis,  diarrhoea,  dysentery,  gastro  enteritis,  and  gallstones — which 
is  retained  for  want  of  a  more  definite  term  which  shall  express 
the  conditions  causing  the  formation  of  the  gallstones — and  acute 
gastritis. 

Under  diseases  of  the  Urinary  System,  the  word  nephria  is 
omitted,  the  term  Bright's  Disease  being  retained  in  the  absence 
of  the  ability  or  practicability  of  the  ordinary  diagnostician  to 
be  able  to  distinguish  the  difi^erent  forms  of  nephritis,  or  blood 
changes  or  other  causes  giving  rise  to  the  presence  of  albumen  in 
the  urine.  Diabetes  is  divided  into  the  two  forms  of  mellitus  and 
insipidus.  While  perhaps  belonging  to  the  group  of  nervous  dis- 
eases, yet  it  is  not  j^et  sufficiently  well  explained  to  prove  in 
which  group  it  might  be  placed,  and  custom  in  this  case  is  allowed 
to  prevail.  Diseases  of  the  testicles  has  been  omitted  as  it  has, 
by  experience  in  this  department,  been  found  to  be  dependent 
upon  some  pathological  change,  such  as  neoplastic  formations  or 
traumatic  or  septic  conditions,  and  the  primary  cause  usually  finds 
its  way  into  these  groups.  Ursemia  is  placed  in  the  primary  group 
as  being  expressive  of  the  direct  location  of  the  disease,  although 
not  being  specific  as  to  the  causation. 

Under  diseases  of  the  Generative  System  we  are  at  the  present 
day  able  to  specify  more  accurately  the  condition  present,  owing 
to  the  increased  knowledge  required  of  the  gynecolog"ist.  Ovarian 
dropsy  is  therefore  dropped,  and  ovarian  tumor,  diseases  of  the 
uterus,  and  pyosalpinx  are  submitted  as  subdivisions.  This  group 
will  probably  be  enlarged  as  physicians  become  better  educated 
in  specific  diagnosis  in  this  special  department. 

As  still-births  are  classified  by  themselves  they  are  removed 
from  the  group  of  Developmental  Diseases  of  Children.     To  this 


AIM'KNIIIX.  280 

i^^ioup  has  been  added  atelectasis  puliuonuin,  also  cholera  infan- 
tum. Convulsions  is  allowed  to  remain.  Althono-h  every  eftortis 
made  to  ascertain  the  cause  of  this  symptom,  and  it  is  freciuently 
dependent  upon  intestinal  distiirbances  as  Avell  as  nervous  derang-e- 
ments,  yet  it  is  impossible  for  the  physician  to  ascertain  the  pro- 
vokinsr  cause.  As  it  is  not  sufficiently  "ill-defined"  to  be  rele- 
q-atod  to  that  g-roup,  being-  a  disease  of  childhood,  it  is  [)lacod  in 
this  group. 

Under  Developmental  Diseases  of  Women  the  various  sulxli- 
visions  of  the  causes  of  death  in  childbirth  have  been  g-iven  and  an 
eflbrt  made  to  obtain  these  special  causes  rather  than  let  them 
remain  as  simply  "  childbirth." 

Diseases  of  Nutrition  are  omitted,  as  atrophy  or  debility  is 
found  to  be  either  in  the  group  of  old  age,  or  diseases  of  infants, 
or  caused  by  some  disease  which  can  be  ascertained.  If  the  cause 
is  not  evident  to  the  phj'sician,  it  is  evidently  a  cause  unknown, 
and  should  be  classed  as  such. 

Under  the  group  Accident  or  Negligence,  the  term  fractures  or 
contusions  is  omitted,  as  it  is  ascertained  in  every  case  what 
caused  these  injuries.  The  results  of  the  injuries  are  treated  of 
as  supplemental,  as  is  also  the  instrument  causing  the  injury,  or 
the  form  of  poison,  or  the  method  of  drowning,  etc.  The  division 
Various  is  sulnlivided  into  more  specific  causes,  and  introduces 
into  this  group  electric  car  accidents,  falls,  tire-arms,  machinery, 
overdose  of  medicine,  railroad,  and  "  otherwise." 

Under  Causes  lU-detiued,  and  which  are  invariably  inquired 
into  for  more  satisfactory  information,  there  are  a  large  number 
which  maj^  be  found  in  the  supplementary  list.  Blood  poisoning 
is  due  usually  to  some  known  traumatic  or  infectious  cause,  as  is 
septicaemia.  "When  not  known  it  is  ill-detined.  The  cause  of 
coma  should  be  given  if  known,  as  it  may  be  from  cerebral  hem- 
orrhage or  from  uni'mia.  Convulsions,  not  infantile,  are  usually 
due  to  some  traceable  cause.  Ascites,  colic,  dropsy,  exhaiistiou, 
and  inflammation  are  symptoms  and  not  causes.  Debility  and 
asthenia  not  infantile  and  not  senile,  can  usually  be  traced  to 
some  definite  change  in  the  system,  otherwise  it  is  ill-detined.  It 
has  been  customary  heretofore  for  physicians  to  give  as  a  cause 
of  death  "  heart  failure,"  meaning  that  the  heart  ceased  its  action 
or  that  the  cause  was  a  natiiral  one  not  accom})anied  by  violence. 
It  is  generallj'  admitted  that  this  is  unsatisfactory,  and  with  this 
compilation,  when  the  cause  of  the  heart  failure  cannot  be  ob- 
tained, it  is  classed  as  ill-detined.  "While  peritonitis  may  be  idio- 
pathic, in  most  instances  a  cause  of  the  iieritt)nitis  has  been  ascer- 
tainable; it  has  been  classed  as  ill-detined  if  no  cause  is  known. 
Shock,  when  occurring  as  surgical  shiu-k,  being  usually  the  result 


286 


APPENDIX. 


of  accident  or  surgical  operation,  is  classed  under  these  groups. 
When  no  accompanying  cause  is  given,  as  might  be  the  case  from 
fright,  or  sudden  joy,  the  cause  is  usually  due  to  some  abnormality 
of  the  nervous  system  or  disease  of  the  heart,  and  in  the  absence 
of  the  specific  cause  must  be  placed  under  ill-defined.  When 
given  as  a  single  cause  in  cases  of  cerebral  hemorrhage  or  apo- 
plexy, the  latter  cause  can  be  ascertained  by  inquiry,  and  proves 
to  be  the  cause  in  most  instances.  The  following  list  comprises 
those  causes,  which  have  been  returned  and,  not  being  sufficiently 
definite,  have  led  to  inquiry  from  the  physician  in  attendance. 
The  only  causes  which  cannot  be  more  explicitly  defined,  and  are 
sufficient  as  primary  causes,  are  appendicitis  and  hernia.  In  these 
two  instances  inquiry  is  made  as  to  whether  an  operation  was  per- 
formed for  relief  of  the  condition.  In  acute  gastritis  it  is  desira- 
ble to  ascertain  if  the  condition  was  due  to  the  ingestion  of  some 
irritant,  as  alcohol,  poison,  or  is  the  result  of  indigestion.  More 
specific  cause  is  asked  for  in  childbirth,  miscarriage,  premature 
birth,  and  still-birth,  in  order  to  determine  in  as  many  cases  as  pos- 
sible what  was  the  condition  of  the  mother  or  the  complication  in 
confinement  which  has  led  up  to  the  result  which  is  the  cause  of 
the  death  of  the  child.  By  spinal  disease  is  sometimes  meant  dis- 
ease of  the  spinal  cord,  in  other  cases  diseases  of  the  spinal  col- 
umn, and  calls  for  inquiry. 


Abscess, 

Accident, 

Appendicitis, 

Ascites, 

Asphyxia, 

Asthenia. 

Blood  Poisoning, 

Bowels,  perforation  of, 

Burns, 

Brain,  concussion  of. 

Brain  trouble. 

Brain  fever, 

Cancer, 

Carbuncle, 

Childbirth, 

Colic. 

Convulsions, 

Coma, 

Croup, 

Debility, 

Dentition, 


Diabetes, 

Dropsy, 

Drowning, 

Eclampsia, 

Erysipelas, 

Exhaustion, 

Fever, 

Fistula, 

Fractures, 

Gangrene, 

Gastritis,  Acute, 

Heart  failure. 

Heart  trouble. 

Heart,  paralysis  of, 

Hernia, 

Haemorrhage, 

Homicide, 

Inflammation, 

Laryngeal  obstruction. 

Lungs,  ffidema  of. 


Malformation, 

Marasmus, 

Miscarriage, 

Mortification, 

Natural  causes, 

Necrosis, 

Peritonitis, 

Poisoning, 

Premature  Birth, 

Scalds, 

Septicemia, 

Shock, 

Spasms, 

Spinal  Disease, 

Stillborn. 

Strangulation, 

Suffocation, 

Suicide, 

Tumor, 

Wounds. 


-XOMKNCLATUUE  OF  CAISKS  OF   DFATII 


CLASSES. 

I.  General  Diseases. — A.  specific  and  febrile.  {Zymotic.) 

II.  General  Diseases, — B.  cachetic.  {Constitutional.) 

III.  General  Diseases. — A.  functional  or  organic.  {Local.) 

IV.  Special  Diseases. — B.  developmental.  {Developmental^ 
V.  Violence.                — C.  from  injuries,  etc.  (  Violent.) 

SUB    GROUPS    OR    ORDZRS. 

CLASS  I.     Zymotic  Diseases. 

Group  one,  Communicable.     Group  tavo,  Dietic. 

CLASS  II.— Constitutional  Diseases. 

Group  one,  Diathetic. 

CLASS  III.— Local  Diseases. 

Group  one,  Diseases  of  the  Nervous  System.  Group  two, 
Organs  of  Circulation.  Group  three,  Organs  of  Respira- 
tion. Group  four,  Organs  of  Digestion.  Group  five.  Urinary 
Organs.  Group  six,  Reproductive  Organs.  Group  seven.  Os- 
seous and  Locomotory  Organs.  Group  eight.  Integumentary 
System. 

CLASS  IV. — Developmental  Diseases. 

Group  one.  Of  Children.  Group  two.  Of  Women.  Group 
THREE,  Of  Old  Age. 

CLASS  V— Deaths  by  Violence. 

Group  one,  Accidents  and  Negligence.  Group  two.  Homi- 
cide.    Group  three,  Suicide. 


288 


APPElSfDlX. 


STATISTICAL    NOSOLOGY. 


CLASS  L— Zymotic   Diseases. 


TABU  -AR  LIST. 


For  Table  IX  of  the  Registration  Rejiort. 


Geoup 

I.  One.— 1. 
2. 
3. 
4. 
5. 


10. 
11. 
13. 
13. 
14. 
15. 
16. 
17. 
18. 
19, 
30. 
21. 
33. 
23. 
24. 
25. 
26. 
37. 
28. 


One. — Communicable. 

Varicella 

Measles 

Scarlet  Fever *. 

Diphtheria 

Small-Pox 

Tonsilitis 

Carbuncle 

Erysipelas 

Fever,  Puerperal 

Malignant  Pustule 

Meningitis,  Cerebro  Spinal. 

Tetanus 

Fever,  Malarial. .... 

Fever,  Typhoid 

Influenza 

Parotitis 

Pertussis 

Pneumonia 

Gonorrhoea 

Syphilis 

Hydrocephalus 

Scrofula 

Tabes  Mesent  erica 

Tubercular  Laryngitis 

Tubercular  Meningitis 

Tubercular  Peritonitis 

Tuberculosis,  Pulmonary . . . 
Tuberculosis,  General 


Group  Two. — Dietic. 

I.  Tvvo.^l.     Alcoholism 

2.  Inanition 

3.  Purpura  and  Scurvy .  . 


SUPPLEMENTAL  LIST. 


Synonyms  or  Related  Diseases. 

Group  One. — Communi- 
cable. 

I.  One.— 1.    Chicken-Pox. 
Miliaria. 
Roseola. 

2.  Rotheln. 

3.  Scarlet  Fever. 

4.  Membranous  Croup. 

6.  Quinsy. 

7.  Anthrax. 
Gangrenous  Boil. 

8.  Hospital  Gangrene. 
Pyemia. 
Laryngismus. 
Lockjaw. 

Trismus  Nasoentium. 
Mumps. 

Whooping  Cough. 
Congestion  of  Lungs. 
Stricture  of  Urethra. 
Gonorrhosal  Opthalmia. 
Psoas  (Lumbar)  Abscess. 
Goitre. 
Adenitis. 
Lymphangitis. 
Morbus  Coxarius. 
Pott's  Disease. 
Hemoptysis. 


12. 


16. 
17. 
18. 
19. 

22. 


27. 


Group  Two. — Dietic. 

I.  Two.— 1.    Delirium  Tremens. 
Intemperance. 


CLASS  IL— Constitutional  Diseases. 


Group  One. — Diathetic. 

II.    One. — 1.     Anaemia 

2.  Cancer,  Abdomen.  . . . , 

3.  Cancer,  Breast 

4.  Cancer,  Face 

5.  Cancer,   Liver , 

6.  Cancer,  Rectum , 

7.  Cancer,  Stomach 

8.  Cancer,  Uterus 

9.  Cancer,  Various 

10.     Rheumatism 


Group  One. — Diathetic. 

II.  One.— 1.    Leuoothythasmia. 
Chlorosis. 
10.    Rheumatic  Carditis. 
Rheumatic  Synovitis. 
Gout. 


Al'l'KNDlX. 


289 


CAUSES  OF    DEATH, 


CLASS    III.— Local  Diseases. 


TABULAR    LIST. 


SUPPLEMENTAL  LIST. 


Gitori'  Om:, 


III. 


One  — 1. 


— Nervous  System. 

Apoplexy  and  Panilvsis. 

Ccrcl)ntis 

Cboit'ii 

Epik'psy 

Insanity 

Meningitis 

Meningitis,  Spin;;! 

Brain  Diseases* 

Nerve  Diseases* 


III.  Ont-.-i. 


Gnorr  Two. — Circulatory  System. 


III.      Two.  — 1. 

Aneurism 

Ill  Two    r 

o 

Angina  Pectoris 

Endocarditis 

1 

4. 

5. 

Peiicurditis 

Phlebitis 

Sclerosis 

! 

1 . 

Group  Thkee- 

III.    Three.— 1. 

Heart  Diseases* 

—Respiratory  System. 

Asthma 

III.  Three.-l. 

3. 

3. 
4. 

Bronchitis,  Acute 

Bronchitis,   Chronic 

Croup 

Laryngitis 

4. 
6. 

a. 

7. 

Gitori'Foui 

III.      Four.— 1. 
2. 
3. 

Pleurisy 

Lung  Diseases* 

;. — Digestive  System. 

Appendicitis 

Bowels.  Obstruction  of.. 
Bowel  Diseases* 

,   III.    Four. -2. 

4. 

0 

r,. 

Colitis 

Colitis,  Entero 

Diarrha'a 

12. 
15. 

( . 

9. 
10. 
11. 

Dysentery 

Enteritis 

Enteritis,  Gastro 

Fistula 

Gall  Stones 

IC. 

17. 
21. 

12. 

Gastritis 

18. 
14. 
15. 

1H. 
17. 
IN. 
19. 

Gastritis,  Acute 

Hepatitis 

Hernia 

Intestines,  Stricture  of.,      i 
Inlestines,  Ulceration  of. 

Intussusception 

Jaundice 

20. 
21. 

Liver,   Cirrhosis  of 

Liver  Diseases* 

22. 
28. 
24. 

Spleen  Diseases* 

Stomach,  Ulceration  of.. 
Stomach  Diseases* 

Cerebral  Hemorrhage. 

I-ocomotor  Ataxia. 

1'are.si.s. 

Deiueiitia. 

Mania. 

Monoiiiaiiia. 

Melanihoiia. 

Xciirastliciiia. 

lMsea.se  of  .'spinal  CorcL 

Ilysteria. 

Nervous  Prostration. 

Neuritis. 

Myelitis. 

Pleurodynia. 

Hypertrophy. 
\'alvular  Disease. 
Embolism. 
Tlirombosis. 


Emphysema. 
(Edema  Glottidis. 
Empyema. 


Constipation. 

Illeus. 

Obstipation. 

Stomatitis, 

(Esophasritis. 

Femoral. 

Inguinal. 

I'mbilieal. 

^"elltral. 

Strieture  of   (Esopha- 

fTUS. 

Perforation  of — 
Dyspepsia, 
(iastralsia. 
Iliematemesis. 


♦  Not  otherwise  placed. 


290 


APPENDIX. 


STATISTICAL    NOSOLOGY. 


CLASS    III.— Local  Diseases. — Continued. 


TABULAR    LIST. 


Group  Fiye. — Urinary  System. 

III.     Five. — 1.     Bladder  Diseases.* 

2.  Calculus 

3.  Cystitis 

4.  Diabetes 

5.  Diabetes,  Mellitus 

6.  Ischuria 

7.  Kidney  Diseases* 

8.  Kidney,  Bright's  Dis.  of. 

9.  Nephritis 

10.  Nephritis,  Chronic 

11.  Prostate  Disease 

12.  Uraemia 


Geoup  Six. — Generative  System. 


III.    Six. 


FEMALE. 

1.  Ovarian  Diseases*. 

2.  Ovarian  Tumor. . .  . 

3.  Diseases  of  Uterus. 

4.  Pyo  Salpyox 


Group  Seven. — Osseous  and  Loco- 
motory  System. 

III.  Seven. — 1.     Bones,  Diseases  of 

2.  Joint  Diseases* 

3.  Vertebrte,  Diseases  of . . . . 


Group  Eight. — Integumentary  Sys- 
tem. 

III.  Eight.— 1.     Eczema 

2.  Phlegmon 

3.  Skin 'Diseases* 


Group  Nine. — Organs  of  Special 
Sense. 

III.    Nine. — 1.     Ossis  Petrosi 

2.     Otitis 


SUPPLEMENTAL  LIST. 


III.  Five.— 1.    Urethritis. 

7.  Hfematuria. 

8.  Albuminuria. 


III.    Six.-3. 


Tumor,  Fibroid. 
Pelvic  Cellulitis. 
Hemorrhage  of. 


III.  Seven.—].    Ostitis. 

Periostitis. 


Rickets. 
Caries,  Necrosis. 

2.  Synovitis. 
Hip  Diseases. 

3.  Spine,  Caries  and  Nec- 

rosis of . 


III.  Eight.— 2.  Abscess,  part  not  stated. 
Boil. 
3.  Pemphigus. 
Psoriasis,  etc. 
Dermatitis. 


*  Not  otherwise  placed. 


APr'p:Ni»ix. 


291 


CAUSES    OF    DEATH, 


CLASS  TV.— Developmental  Diseases. 

TABULAR     LIST.  11 


SUPPLEMENTAL  LIST. 


GitoLi'   ()m;.— Developmental    Dis 
eases  of  Children. 

IV.     One. — 1.  Ati'lcctiisis   Piilinoiium  .  .  . 

2.     Cliolcru  Infaiituin 

•).     Convulsious 

4.  Cyanosis 

5.  Debility,  In fantik' 

(i.     Premature  Birth 

7.     Dentition 

8  Hemorrhage,  Umbilical. .  . 

i).     Icterus  Neonatorum 

10.  In(li!j:estion 

1 1.  Innutrition 

\'2.  S|>ina  Bifida 

13.  Other  Malformations 

Gi;orr  Two. — Developmental  Dis- 
eases of  Women. 

IV.     Two. — 1.     Paramenia 

2.  Difficult  Labor 

3.  ^liscarriage 

4.  Placenta  Pnvvia 

.■).  Post  partum  Hemorrhage. 

0.     Puerperal  Eclampsia 

7.  Puerperal  Mania 

8.  Puerperal  Peritonitis 

9.  Childbirth* 

Cxiioup  Thi?ee. — Developmental  Dis- 
eases of  Old  People. 

IV.   Tliree.— 1.     Old  Age 

2.  Debility,   Senile 

3.  Gangrene 


IV.    One. 


Asthenia. 
Ha'inorrhagic 

Diathesis, 
Malnutrition. 
Imperforate  Anus. 
Cleft  Palate. 


IV.  Two.— 1.    Climacterla. 


CLASS  v.— Deaths  by  Violence. 


Gitoup    One, 


V.  One— 1. 
2 
3. 
4. 


9. 
10. 
11. 


—  Accident  or  Negli- 
gence. 

Asphy.xia 

Burns  and   Scalds 

Drowning 

Electric  Car 

Falls 

Firearms 

Mac;liinery 

Overdose  of  Medicine.  .  . 

Pois(ui 

Railroad 

Otherwise 


v.  One.-ll. 


Freezing:, 
Kxposiire. 
Insolation. 
Lightning. 
Surgical  Operation. 


♦  Not  otherwise  placed. 


30 


292 


APPENDIX. 


STATISTICAL    NOSOLOGY. 


CLASS  V. — Deaths  by  Violence. — Continued. 


TABULAR   LIST. 


Group  Two. — -Homicide. 


Group  Three. — Suicide. 

V.    Three. — 1.  Drowning 

2.  Hanging 

3.  Poison 

4.  Wounds,  gun  or  pistol. 

5.  Wounds,  knife . . . 


SUPPLEMENTAL  LIST. 


V.    Two.— 1.    Infanticide. 
Patricide. 
Matricide. 
Fratricide. 
Filicide. 


V.  Three.— 3.    Arsenic. 

Laudanum. 
Paris  Green. 
Other. 


1. 

Causes  ill-defined 

1.    Blood  Poisoning. 
Oonpa. 

Convulsions  (not  infantile). 
Colic. 

Debility  (not  infantile  and  not 
senile). 

2. 

Causes  not  stated 

Dropsy  or  Ascites. 

Exhaustion. 

Heart  Failure. 

Inflammation. 

Mortification. 

Peritonitis. 

8. 

Stillborn 

Septicfemia. 

Shock. 

Dentition. 

appendix  b. 
The  Laws  of  Rhode  Island 

(As  amended  Feliniary  1,  IfOO.) 
IN  RELATION  TO  THE  REGISTRATION  OF 

BIRTHS,  MAIIRIAGES,  AND  DEATHS, 

AND  OF  DIVORCE. 


GENERAL  LAWS,  CHAPTER  100. 
OF  THE  RECISTllATIOX  OF  BIRTHS,  MARRIAGES,  AND  DEATHS. 

Skctiox  1.  The  town  clerks  of  the  several  towns,  or  any  person  whom 
the  board  of  aldermen  of  any  city,  or  the  town  council  of  any  town,  may 
appoint  for  that  purpose,  shall  obtain,  chronologically  record  and  index, 
as  required  by  the  forms  prescribed  by  section  three  of  this  chapter,  all 
information  concerning  births,  marriages,  and  deaths  occurring  among 
the  inhabitants  of  their  respective  towns;  and  on  or  before  the  tirst  Mon- 
day in  March,  annually,  shall  make  duly  certified  returns  thereof  to  the 
secretary  of  the  state  board  of  health  for  the  year  endhig  on  the  thirty- 
first  day  of  December  next  precedmg,  accompanying  the  same  with  a  list 
of  the  persons  required  by  law  to  make  returns  to  them  who  have  neg- 
lected to  do  so,  and  with  such  remarks  relating  to  the  object  of  this 
chapter  as  they  may  deem  important  to  communicate. 

Si:c.  2.  The  secretary  of  the  state  board  of  health  shall  receive  the  re- 
turns made  in  pursuance  of  the  i)receding  section,  and  annually  make  a 
giMH'ral  al)stract  and  report  thcrcol',  in  form  as  prcscriltt'd  by  section  tlircf 
of  tliis  chapter,  and  puhlisli  not  exceeding  one  tl\onsand  copies  thereof; 
and  for  preparing,  tabulating,  and  publisiiing  said  annual  report  such  sum 
as  may  be  provided  by  law  sliall  be  i)aid  to  the  state  registrar.  Said  re- 
turns, after  such  reptirt  is  prepared,  shall  be  depositeil  in  tlie  otlice  of  the 
secretary  of  state,  who  sliall  cause  the  same  to  be  arranged,  full  aljihabeti- 
cal  indices  all  the  names  to  be  made,  and  tlie  wliole  to  be  bound  in  volumes 
of  convenient  si/t'  and  carefully  preserved  in  liis  ollice. 


294  APPENDIX. 

Sec.  3.  The  blank  forms  required  to  carry  out  the  provisions  of  this 
chapter  shall,  on  application,  be  furnished  by  the  secretary  of  the  state 
board  of  health  to  clergymen,  physicians,  undertakers,  town  clerks,  clerks 
of  meetings  of  the  Society  of  Friends,  and  other  persons  requiring  them, 
substantially  as  follows:  The  record  of  a  birth  shall  state  the  date  and 
place  of  birth,  name  of  the  child  if  it  has  any,  the  sex  and  color  of  the 
child,  whether  bom  alive  or  still-bom,  the  name  and  surname,  color,  resi- 
dence, and  birthplace  of  the  parents,  and  the  occupation  of  the  father,  and 
the  time  of  recording,  so  far  as  the  same  can  be  ascertained.  The  record 
of  a  marriage  shall  state  the  date  of  the  marriage,  place,  name,  residence, 
and  official  station  of  the  person  by  whom  married,  names  and  surnames 
of  the  parties,  age,  color,  occupation,  and  residence  of  each,  condition, 
that  is,  whether  single  or  widowed,  what  marriage,  that  is,  whether  first, 
second,  third,  or  other  marriage,  the  occupation,  birthplace,  and  name  of 
their  parents,  and  the  time  of  recording,  so  far  as  the  same  can  be  ascer- 
tained. The  record  of  deaths  shall  state  the  date  of  the  death,  name  and  sur- 
name of  deceased,  the  sex,  color,  and  condition,  whether  smgle  or  married, 
age,  occupation,  place  of  death,  place  of  birth,  names  and  birthplace  of 
parents,  disease  or  cause  of  death,  and  the  time  of  recording,  so  far  as 
can  be  ascertained. 

Sec.  4.  Every  meeting  of  the  Society  of  Friends,  clergymen,  and  all 
others  authorized  to  join  persons  in  marriage,  shall  make  a  faithful  record 
of  every  such  rite  performed  by  them,  in  manner  and  form  aforesaid,  and 
return  the  same  for  the  last  preceding  month,  on  or  before  the  second 
Monday  of  every  month,  to  the  town  clerk  of  the  town  in  which  such  rite 
shall  have  been  performed;  and  no  marriage  shall  be  solemnized  until  the 
parties  shall  have  signed  and  delivered  to  the  person  about  to  solemnize  it, 
or  to  a  clerk  of  a  meeting  of  the  Society  of  Friends,  a  certificate  containing 
the  information  required  for  the  record  of  a  marriage,  as  prescribed  by 
this  chapter. 

Sec.  5.  The  town  clerk  of  every  town  shall  annually,  in  the  month  of 
January,  collect  the  information  required  by  this  chapter,  in  relation  to 
all  children  bom  in  the  town  during  the  year  ending  on  the  thirty-first  day 
of  December  next  preceding. 

Sec.  6.  Physicians  and  midwives  shall,  on  or  before  the  fifth  day  of  each 
month,  report  to  the  clerk  of  each  city  or  town  a  correct  list  of  all  children 
bom  therein  during  the  month  next  precedmg,  at  whose  birth  they  were 
present,  stating  the  date  and  place  of  each  birth,  the  name  of  the  child  if 
it  has  any,  the  sex  and  color  of  the  child,  the  name,  place  of  birth  and 
residence  of  the  parents,  and  the  occupation  of  the  father.  The  fee  of  the 
physician  or  midwife  shall  be  twenty-five  cents  for  each  birth  so  reported, 
and  shall  be  paid  by  the  city  or  town  in  which  the  report  is  made. 

Sec.  7.  Whenever  any  person  shall  die,  or  any  still-bom  child  shall  be 
brought  forth  in  this  state,  the  pliysician  attending  at  such  bringing  forth 


API'KN'DIX.  295 

or  last  sickness,  if  any  i)liysician  so  atteiidfd,  shall,  witliin  forty-fijrht 
hours  after  such  death  or  brinj^iuff  forth,  leave  with  the  faiiiiiy.  if  any,  or 
l>ers«)n  iiaving  the  care  of  the  deceased,  or  the  person  brinprin^,'  forth  such 
still-boni  child,  or  give  to  the  undertaker  or  i)erson  \vh<»  conducts  the 
funeral,  a  certiticate  statinjr,  in  case  of  a  death,  tlie  name  of  the  deceased, 
the  date  of  the  death,  and  the  disease  or  cause  of  the  death,  and  in  case 
of  the  bringing  forth  of  a  still-bcmi  child,  the  date  and  the  cause  of  such 
child  being  brought  forth  still-boni.  Prorided.  howerer,  that  if  the  phy- 
sician last  in  attendance  shall  not  have  knowledge  of  such  death,  or  is 
otherwise  reasonably  prevented  from  leaving  witli  the  family  or  giving  the 
undertaker  sucli  certilicate  within  the  time  liereinbefore  si)ecilied,  or  i)e- 
fore  the  funeral  or  disposal  of  the  remains  of  tlie  deceased,  lie  shall,  within 
five  days  after  having  knowledge  of  such  death  by  notification  or  otherwise, 
send  to  the  town  or  city  clerk  or  registrar  of  the  town  or  city  in  which  such 
death  occurred  a  certificate,  stating  the  name,  date,  and  disease  or  cause 
of  death  of  such  decedent. 

Sei'.  S.  Every  town  council  may  appoint  a  sutticient  number  of  persons 
to  act  as  undertakers,  removable  at  the  pleasure  of  such  council. 

8kc-.  9.  Xo  undertaker  or  other  person  shall  conduct  a  funeral,  or  bury 
or  deposit  in  a  tomb,  or  remove  from  this  state  or  otherwise  dispose  of  the 
remains  of  any  deceased  person  or  still-born  child,  unless  he  shall  first  ob- 
tain the  physician's  certificate  required  by  section  seven  of  this  chapter, 
if  a  physician  was  in  attendance  upon  sucli  iierson  wlio  has  deceased  or 
the  person  bringhig  forth  such  still-boni  child,  and  sliall  return  the  same, 
together  with  liis  own  certificate  of  the  information  required  by  section 
three  of  this  chapter,  to  the  town  clerk  of  the  town  where  such  death  or 
bringing  forth  took  place:  Prorided,  hoa-eve);  that  in  such  towns  as  allow 
the  burial  or  removal  of  bodies  of  deceased  persons  without  a  permit  from 
the  town  clerk,  and  if  the  undertaker  or  other  person  who  has  i-liarge  of 
the  disposal  of  the  remains  of  the  deceased  person  is  \niable  to  t)l)tain  the 
said  i)]>ysician's  certiticate.  after  reasonable  attempts  therefor,  before  the 
burial  or  n'lnoval  of  the  said  remains,  then  the  said  undertaker  or  other 
person  shall  make  his  return  as  recjuired  by  section  three  of  this  chaitter. 
including  the  cause  of  death  and  the  name  of  the  physician  last  in  attend- 
ance upon  the  deceased,  immediately  to  the  town  or  city  clerk  or  registrar 
of  the  town  or  city  in  wliich  the  death  occurred,  lie  shall,  also,  within 
two  days  thereafter,  notify  the  pliysician  last  in  attendance  upon  the  de- 
ceased person  of  the  name  and  date  of  death  of  the  same. 

Ski  ,  10.  Clergymen  of  all  denominations  who  ofiiciate  at  the  finierals 
of  decedents  when  no  undertaker  is  in  attendance,  shall,  when  requested 
by  the  state  registrar,  or  the  town  or  city  clerk  or  ri'gistrar  of  the  town  or 
city  in  wliich  such  deaths  occurred,  make  returns  of  such  deaths  in  the 
same  manner  and  with  the  satne  comjiensation  as  undertakers. 


29G  APPEE"DIX. 

Sec.  11.  xiny  town  may  make  ordinances  more  elTectually  to  attain 
tlie  objects  herein  contemplated. 

Sec.  12.  The  town  clerks,  or  persons  appointed  as  aforesaid,  shall  re- 
ceive for  each  record  of  a  death  made  and  returned  as  required  by  law, 
and  for  each  record  of  a  marriage  made  and  returned  as  required  by  law, 
twenty  cents,  to  be  paid  to  them  out  of  their  respective  town  treasuries: 
Pi'ovided,  that  the  yearly  compensation  to  be  paid  out  of  the  town  treasury 
as  aforesaid,  to  any  one  town  clerk  or  person  appointed  as  aforesaid,  who 
shall  perform  the  duties  prescribed  by  this  chapter,  shall  not  be  less  than 
five  dollars.  Undertakers  and  others  making  returns  of  deaths,  as  required 
by  sections  seven  and  nine  of  this  chapter,  shall  receive  for  each  full  report 
of  a  death  made  to  the  town  clerk,  five  cents  in  the  cities  of  Providence  and 
Kewport,  and  ten  cents  in  the  other  towns  of  the  state. 

Sec.  13.  Every  clergymen,  physician,  midwife,  undertaker,  town  clerk, 
clerk  of  a  any  meeting  of  the  Society  of  Friends,  or  other  person  who 
shall  wilfully  or  unreasonably  neglect  or  refuse  to  perform  any  of  the 
duties  imposed  on  or  required  of  him  by  this  chapter,  shall  be  fined  not 
exceeding  twenty  dollars  nor  less  than  two  dollars  for  each  offence,  one- 
half  thereof  to  the  use  of  the  town  in  which  the  offence  shall  occur,  and 
one-half  thereof  to  the  use  of  the  person  who  shall  complain  of  the  same. 

Sec.  14.  Every  clergymen,  physician,  coroner,  undertaker,  medical  ex- 
aminer, or  clerk  of  any  meeting  of  the  Society  of  Friends,  shall  cause  his 
name,  residence  and  post-office  address  to  be  recorded  in  the  town  clerk's 
office  of  the  town  where  he  resides. 

Sec.  15.  No  letters  of  admmistration  or  letters  testamentary  shall  be 
granted  by  any  court  of  probate  upon  the  estate  of  any  person,  until  the 
death  of  such  person,  or  the  facts  from  which  the  same  is  presumed,  shall 
be  duly  certified,  as  near  as  may  be,  to  the  town  clerk,  in  order  that  the 
same  may  be  duly  registered  according  to  the  provisions  of  this  chapter. 

Sec.  16.  The  town  and  city  clerks,  and  registrars  of  the  several  towns 
and  cities,  shall  have  the  custody  of  all  records  of  births,  deaths,  and  mar- 
riages of  their  respective  towns,  whether  made  imder  the  statutes  now  in 
force  or  any  former  statute,  and  a  certificate  signed  by  them,  certifying 
that  any  written  or  printed  statement  of  any  marriage,  birth,  or  death  is 
a  true  copy  of  the  record  in  their  custody,  shall  be  admitted  as  evidence 
of  such  marriage,  birth,  or  death. 

Sec.  17.  Births,  marriages,  and  deatlis  of  non-residents  sliall  be  distin- 
guished from  those  of  residents  in  the  returns  by  being  arranged  separately. 

Sec.  18.  The  secretary  of  the  state  board  of  health  may  from  time  to 
time  vary  the  forms  of  returns,  and  require  such  additional  information 
as  he  may  consider  necessary  to  accomplish  the  object  of  this  chapter. 

Sec.  19.  The  town  clerks  or  other  officers  appointed  under  this  chapter 
to  collect,  record,  and  return  the  birth  in  the  ^veral  cities  and  towns, 
shall  receive  fees  therefor  as  follows:    For  making  record  and  return  of 


AI'I'KNDIN.  21)7 

tlu'Sf  fju'ts  as  riMjiiiicd  l)y  law,  twenty  cents  fur  eacli  entry  and  rctnin: 
to  hv  ])i\\(\  l)y  (lie  city  (»r  town  in  wliicli  tlie  l)irtli  is  recorded. 

Si;c.  •_'().  'I' lie  clerk  or  retfist  ra  rot  each  town  and  city  shall,  on  the  first  day 
of  each  and  every  month,  make  a  certilled  cojjy  of  all  births,  marriajfes, 
and  deaths  recorded  hi  the  books  of  said  town  or  city  during  the  previous 
month,  whenever  the  parents  of  the  child  born,  or  the  bride  or  the  groom, 
or  the  deceased  person,  were  resident  in  any  other  town  or  city  in  this 
state,  or  in  any  other  state,  at  time  of  said  birth,  marriage,  or  death;  and 
shall  transmit  such  certified  copies  to  the  clerk  or  registrar  of  tlie  town, 
city,  or  state  in  which  such  i)arents  of  the  child  born,  the  bride  or  the 
groom,  or  the  deceased,  were  resident  at  the  time  of  said  birth,  marriage, 
or  death,  stating,  in  case  of  a  birth,  tlie  name  of  the  street  and  number  of 
the  house,  if  any,  where  such  parents  resided,  the  place  of  birth  of  such 
parents,  and  the  maiden  name  of  the  mother,  whenever  the  same  can  be 
ascertained;  and  the  clerk  or  registrar  so  receiving  such  certified  copies 
shall  record  the  same  in  the  books  kept  for  recording  births,  marriages, 
and  deaths.  Such  ceititied  copies  shall  be  made  upon  blanks  to  be  fur- 
nished for  that  imrpose  by  the  secretary  of  the  state  board  of  health. 

Skc.  21.  The  town  clerks  of  tiie  several  towns,  or  other  pei-sons  ap- 
l)ointed  under  this  chapter  to  collect  the  births  ui  the  several  towns,  shall 
annually  in  the  month  of  January  collect  the  facts  concerning  the  births 
within  their  resjjective  towns,  retjuired  by  this  chapter,  and  shall,  so  far 
as  practical)!!',  at  the  same  time  collect  the  names  of  all  persons  lialile  to 
be  enrolled  in  the  militia,  as  required  by  title  thirty-four,  and  the  census 
of  all  persons  between  the  ages  of  live  and  fifteen  years  inclusive,  as  pro- 
vided by  chapter  fifty-four,  and  sliall  receive  therefor  such  comiiensation 
as  the  town  council  or  the  board  of  aldermen  of  their  respective  cities 
shall  determine:  Provided,  that  the  city  of  Providence  shall  be  exempt 
from  so  much  of  the  provisions  of  this  section  as  relates  to  the  collection 
of  the  statistics  of  births. 

SKf.  -22.  T31anksfor  the  foregoing  purposes  shall  be  furnished,  on  ai)i>li- 
catioii  therefor,  on  or  before  the  first  day  of  December  in  the  year  preced- 
ing, by  the  state  board  of  health  for  the  collection  of  births,  by  the 
adjutant-general  for  the  takhig  of  the  enrolled  militia,  ami  by  the  com- 
missioner of  public  schools  for  the  census  aforesaid. 

Skc.  2:].  Tlie  person  or  persons  who  shall  discharge  the  duties  requiretl 
by  section  twenty-one  of  this  chapter,  if  other  than  the  town  clerk,  sliall 
make  full  return  thereof  to  the  town  clerk  of  his  or  their  town,  on  or 
before  the  tenth  day  of  February  next  following. 

Skc.  24.  The  returns  reipiired  to  lie  made  by  the  clerks  of  the  appellate 
division  of  (he  sn]>renie  comt.  in  relation  to  divorces,  to  the  secivtary  of 
the  state  board  of  health,  (U  a  prepared  abstract  thereof,  shall  be  published 
in  the  annual  repent  on  (he  l)ir(hs,  marriages,  and  deaths  in  the  state. 


298  APPESTDIX. 


SYNOPSIS  OF   THE  LAW  OF  MAKRIAGE. 


GENERAL  LAWS,  CHxlPTER  191. 

Sections  1,  2,  aiicl  3  show  wliat  kiudred  persons  cannot  marry,  and  de- 
clare marriages  within  prohibited  degrees  null  and  void. 

Section  4  makes  an  exception  in  favor  of  Jews,  within  the  degrees  of 
affinity  or  consanguinity  allowed  by  their  religion. 

Section  .5  declares  the  marriage  of  persons  having  a  husband  or  wife 
living,  and  of  idiots  and  lunatics,  absolutely  void. 

Sec.  6.  Any  minister  or  elder  of  any  religious  denomination  who  shall 
be  domiciled  in  the  state,  and  shall  have  registered  with  the  town  clerk 
and  have  received  a  lirense,  may  jom  persons  in  marriage  .in  this  state. 

Section  7  designates  who  shall  be  considered  as  belonging  to  a  religious 
denomination  within  the  meaning  of  the  precedmg  section. 

Sec.  S.  Wardens  in  the  town  of  Xew  Shoreham  may  join  persons  in 
marriage  in  said  to\\^i. 

Section  9  designates  who  may  jom  persons  in  marriage  when  solem- 
nized among  Quakers,  or  among  persons  professing  the  Jewish  religion. 

Sec.  10.  Every  person  desiring  to  be  joined  in  marriage  in  this  state 
shall  furnish  to  the  town  or  city  clerk  of  the  town  or  city  where  such  per- 
son resides,  or,  if  such  person  is  not  a  resident  of  the  state,  then  to  tlie 
to^vn  or  city  clerk  of  the  town  or  city  where  such  marriage  is  to  be  solem- 
nized, the  information  called  for  in  a  blank  form  provided  by  the  town  or 
city  clerk.  Such  person  shall  also  procure  from  the  town  or  city  clerk  a 
certified  copy  of  such  blank  form  so  subscribed  to,  and  present  the  same  to 
the  person  Avho  is  to  solemnize  the  marriage.  For  issuing  such  certified 
copy  the  to^ai  or  city  clerk  shall  be  entitled  to  a  fee  of  one  dollar.  Such 
clerk  shall  endose  his  certificate  upon  the  back  of  said  copy. 

Section  ll  provides  for  the  control  of  marriages  of  minors,  and  requires 
the  written  consent  of  the  parent  or  guardian  before  the  information  pro- 
vided for  in  section  ten  can  be  given.  Persons  over  eighteen  years  of  age, 
however,  who  may  have  no  parent  or  guardian,  may  make  oath  relative  to 
that  fact  to  tlie  city  or  town  clerk,  and  may  then  give  the  required  informa- 
tion called  for  in-the  application. 

Section  12  requires  that  each  of  the  persons  married  must  present  to 
the  officiating  clergyman  a  certified  copy,  as  provided  in  section  ten.  These 
must  also  be  signed  by  the  respective  parties  to  the  marriage  m  the  pres- 
ence of  the  clergyman.  This  is  intended  to  identify  the  parties  as  being 
the  same  who  appeared  for  the  certificate  from  tlie  town  clerk. 


AIM'KNDIX.  299 

Skction  I:',  nMiuircs  tliat  the  o(lici;iliiiK  clt'i^jyiiu'ii  shall  ciHUtrsc  tiie  ccr- 
tilicat*!  statiiiff  that  III'  has  joined  Ihr  parties  in  inariiai,^'.  and  also  that 
two  witnesses  of  the  niarriajre  sliall  append  their  sif,'natures.  It  also  pro- 
vides that  the  minister  shall  make  a  retnrn  of  tiie  eertilicate  to  the  town 
clerk  oil  or  before  the  second  Monday  of  the  inontli  succeeding'  the  date 
of  the  marriage. 

.SKtrrox  14  provides  for  the  care  and  preservation  of  the  records. 

Skction  15  provides  for  the  work  of  registration  in  tlie  city  of  Provi- 
dence to  be  done  by  the  city  registrar. 

Skctiox  1(5  provides  for  the  recording  of  the  returned  certificates  in  the 
oflice  of  the  town  clerk,  and  the  final  lodgment  of  the  certificates  with 
the  secretary  of  state.  These  are  there  to  be  properly  indexed,  and  open 
to  hispection  only  in  the  presence  of  some  one  connected  with  the  office 
of  the  secretary  of  state. 

Si-:cTiON  17  provides  that  two  witnesses  shall  be  present  at  tlie  marriage 
ceremony. 

Skction  18  provides  that  lawful  objection  to  a  marriage  shall  be  made 
in  writing,  and  the  ofliciating  clergyman  shall  not  proceed  with  the  mar- 
riage until  the  objection  is  removed. 

Sk<  TION  10  provides  for  a  penalty  of  six  months  imprisonment,  or  a  fine 
of  one  thousand  dollars,  for  joiiung  persons  in  marriage  without  first  hav- 
ing been  itreseiited  with  the  certified  copies  required  in  section  ten,  or  with- 
out having  first  returned  any  lawful  objection  to  the  marriage. 

Skction  -jo  provides  for  a  penalty  a  fine  of  not  exceeding  one  hundred 
dollars,  lor  failure  to  perform  any  of  the  duties  devolving  upon  the  ofiicia- 
ting  otlicer  under  this  chapter. 

Sk(  TION  21  i)rovides  for  a  line  for  joining  persons  in  marriage  who  have  a 
husband  or  wife  living. 

Ski  TION  2-2  provides  that  no  marriage  shall  be  deemed  or  adjudged  to  be 
void  by  any  failure  on  the  part  of  the  officiating  oiHeers  to  comi)ly  with 
the  law,  if  the  marriage  is  in  other  respects  lawful,  and  has  been  performed 
with  a  full  belief  on  the  part  of  the  persons  so  married,  or  either  of  them, 
that  they  have  been  lawfully  joined  in  marriage. 

Skc.  2:).  Every  person  who  shall  solemnize  a  marriage  without  being 
legally  authorized  thereto,  shall  be  fined  Wm.'  hundred  dollars. 

ADDENDUM. 

Section  10  was  modified  at  the  January  session  of  the  Legislature,  and  provides  that  a 
license  shall  be  issued  to  the  persons  to  bo  joined  in  marriafie,  and  that  the  signatures  of  the 
persons  must  be  affixed  to  the  declaration  of  intention  of  marriage,  and  in  the  presence  of 
the  clerk  of  the  records.  In  case  the  parties  reside  in  different  towns  in  the  state,  then  the 
fee  shall  be  fifty  cents  for  each  town  instead  of  i.ujc  dolhir. 


300  APPENDIX. 


GENEKAL  LAAVS.    CHAPTEK  195. 


OF  DIVORCE. 

Section  1.  Divorces  from  the  bond  of  marriage  shall  be  decreed  in  case 
of  any  marriage  originally  void  or  voidable  by  law,  and  in  case  either  party 
is  for  crime  deemed  to  be  or  treated  as  if  civilly  dead,  or  from  absence  or 
other  circumstances  may  be  presnmed  to  be  actually  dead. 

Sec.  2.  Divorces  shall  be  decreed  for  impotency,  adultery,  extreme 
cruelty,  v^dllful  desertion  for  five  years  of  either  of  the  parties,  or  for  such 
desertion  for  a  shorter  period  of  time  in  the  discretion  of  the  court,  for 
continued  drunkenness,  for  the  habitual,  excessive,  and  intemperate  use  of 
opium,  morphine,  or  chloral,  for  neglect  or  refusal  on  the  part  of  the  hus- 
band, being  of  sutlicient  ability,  to  provide  necessaries  for  the  subsistence 
of  his  wife,  and  for  any  other  gross  misbehavior  and  wickedness  in  either 
of  the  parties  repugnant  to  and  in  violation  of  the  mai'riage  covenant. 

Sec.  3.  Whenever  in  the  trial  of  any  petition  for  divorce  from  the  bond 
of  marriage  it  shall  be  alleged  in  the  petition  that  the  parties  have  lived 
separate  and  apart  from  each  other  for  the  space  of  at  least  ten  years,  the 
court  may  in  its  discretion  enter  a  decree  divorcmg  the  parties  from  the 
bond  of  marriage,  and  may  make  provisions  for  alimony. 

Sec.  4.  Whenever  it  shall  appear  that  the  absence,  adultery,  cruelty, 
desertion,  or  other  cause  of  complaint  as  aforesaid  was  committed  or  oc- 
casioned by  the  collusion  of  the  parties,  and  done  and  contrived  with  an 
intention  to  procure  a  divorce,  in  such  case  no  divorce  shall  be  decreed. 

Sec.  5.  Whenever  a  divorce  is  granted  for  fault  on  the  part  of  the  hus- 
band, the  wife  shall  have  dower  as  if  the  husband  were  dead;  but  such 
dower  shall  be  claimed  on  proceedings  begun  within  six  months  after  the 
absolute  decree,  and,  if  not  claimed  within  said  period,  or  if  claim  be 
made  for  alimony  within  said  period,  then  dower  shall  be  deemed  to  be 
waived  and  released,  aird  the  only  relief  of  the  wife  shall  be  a  claim  for 
alimony  chargeable  upon  the  estate  of  the  husband,  or  some  specific  por- 
tion thereof  as  the  court  may  decree:  Provided,  that  m  case  of  such 
divorce  between  parties  married  before  the  Digest  of  eighteen  hundred 
forty-four  went  mto  operation,  the  Avife  shall  be  re-instated  in  all  of  her  real 
estate,  and  have  restored  to  her  all  of  her  personal  estate  not,  in  either 
case,  disposed  of  at  the  date  of  the  filing  of  the  petition  for  said  divorce. 

Sec.  6.  Whenever  a  divorce  is  granted  for  fault  on  the  part  of  the  wife, 
the  husband,  if  he  be  entitled  to  curtesy- initiate,  shall  have  a  life  estate 
in  all  the  lands  of  the  wife  as  if  the  wife  were  dead,  but  subject  to  such 


Ai'n:N[»i\,  301 

allowauct'  to  tlir  wilt',  to  Itc  charjfpfl  on  such  life  estate,  as  tlie  court  in  tin- 
IH-cwliiir  circumstMuct's  of  tlie  case  may  deem  just  and  i>roi»er. 

Si;(  .  7.  <  )t!i('r\vise  tliaii  asi)rovi(lerl  in  the  two  incccdinfr  sections  neither 
husband  nor  wife,  on  divorce  beinff  trranted,  sliiill  havf  any  ripfht  in  the 
estate  of  tlie  other. 

Skc.  S.  Divorces  from  bed.  l)oard,  and  furtlier  colial)itation,  until  the 
parties  l)e  reconciled,  may  lu-iifranted  for  any  of  the  causes  for  wiiicli  bylaw 
a  divt)rce  from  the  bond  of  marriage  may  be  decreed,  and  for  such  other 
causes  as  may  seem  to  require  tlie  same.  In  case  of  such  divorce  the  court 
may  assi<,ni  to  the  petitioner  a  separate  maintenance  out  of  the  estate  or 
])roperty  of  the  husband  or  wife,  as  the  case  may  be,  in  such  manner  and 
of  such  amount  as  it  may  think  necessary  or  jiroper. 

Skc.  it.  ICvery  i»etition  shall  be  sisjned  by  the  petitioner,  if  of  sound 
mind  and  of  letial  i\^e  to  consent  to  marriage;  otherwise,  upon  ai)plication 
tt)  the  court,  and  after  notice  to  the  party  in  whose  name  the  iietition  shall 
be  filed,  the  court  may  allow  such  petition  to  be  signed  by  a  guardian  or 
next  friend. 

Si-x-.  10.  Xo  petition  for  divorce  shall  be  granted  unless  the  petitioner 
shall  at  the  time  of  preferring  such  petition,  be  a  domiciled  inhabitant 
of  this  state,  and  have  resided  therein  for  the  period  of  one  year  next 
before  the  preferrhig  of  such  petition. 

Sp:c.  11.  All  such  petitions  shall  be  filed,  heard,  and  tried  in  Providence, 
unless  the  petitioner  shall  reside  in  the  county  of  Xewport  or  hi  the  county 
of  AVashington,  in  which  case  such  petition  shall  be  filed,  heard,  and  tried 
in  X'ewport  or  South  Kingstown  respectively. 

SEf.  12.  The  court  may  by  general  nile  determine  the  return-day  of 
petitions  for  divorce  and  prescribe  the  notice  to  be  given,  withhi  or  without 
the  state,  on  all  such  petitions,  and  may  issue  such  process  as  may  be  nec- 
essary to  carry  into  effect  all  powers  conferred  upon  it  in  relation  to  the 
same;  and  said  court  may  also,  by  general  rule,  fix  the  times,  during  its 
session,  when  all  petitions  for  divorce  shall  be  heard,  as  they  may  be  filed 
in  Providence,  Xewport,  or  South  Kingstown,  respectively.  Such  general 
rules  shall,  however,  be  subject  to  such  special  orders  as  the  court  may 
make  in  special  cases.  And,  until  general  rules  are  made,  special  order 
in  each  case  shall  be  made. 

Skc.  1:',.  Whenever  any  petition  for  divorce  shall  have  been  filed  or  be 
pending  in  the  ai)pellate  division  of  the  supreme  court,  and  said  court 
shall  be  of  the  opinion  that  sutficient  notice  of  the  pendency  of  said  peti- 
tion shall  not,  from  any  cause,  have  been  given  to  the  adverse  party,  said 
court  may  order  notice  or  further  notice  to  the  adveree  party  to  be  given 
in  siuli  iiianni'r  as  the  court  may  prescribe. 

Sk^'.  14.  The  said  court  may  regulate  the  custody  and  provide  for  the 
education,  maintenance,  and  support  «)f  the  children  of  all  persons  by  them 
divorced  or  pt-titioning  for  a  divorce,  and  all  jx-rsuns  to  wIkmu  a  st-paratc 


303  APPENDIX. 

maintenance  maybe  granted  or  who  may  petition  for  the  same;  may  ui 
its  discretion  make  such  allowance  to  the  wife,  out  of  the  estate  of  the 
husband,  for  the  purpose  of  enablmg  her  to  prosecute  or  defend  agamst 
any  such  petition  for  divorce  or  separate  maintenance,  in  case  she  has  no 
property  of  her  own  available  for  such  purpose,  as  they  may  think  reason- 
able and  proper;  and  may  make  all  necessary  orders  and  decrees  concerning 
the  same,  and  the  same  may  at  any  time  alter,  amend,  and  annul  for  suffi- 
cient cause,  after  notice  to  the  parties  interested  therein. 

Sec.  15.  Any  woman  to  whom  a  divorce  from  the  bond  of  marriage  is 
decreed  may  be  authorized  by  such  decree  to  change  her  name,  subject  to 
the  same  rights  and  liabilities  as  if  her  name  had  not  been  changed. 

Sec.  16.  After  the  filmg  and  during  the  pendency  of  any  petition  for 
divorce  the  said  court  may  make  such  interlocutory  decrees  and  grant  such 
temporary  mjmictions  as  may  be  necessary  until  a  hearing  can  be  had 
before  said  court. 


GENEEAL  LAWS.    CHAPTEE  225. 

or  DIVOKCES. 

Section  9.  The  clerks  of  the  appellate  division  shall  make  returns  to  the 
secretary  of  the  state  board  of  health,  on  or  before  the  hrst  day  of  March 
in  each  and  every  year,  for  the  year  ending  on  the  thirty-first  day  of  De- 
cember preceding,  of  all  the  applications  for  divorce,  showing  the  number 
of  applications,  the  number  thereof  contunied,  the  number  granted,  and 
the  causes  for  which  the  same  are  granted,  but  without  the  names  of  the 
parties,  in  accordance  with  the  blanks  which  shall  be  furnished  them  by 
the  secretary  of  state. 


GENEEAL  LAWS.    CHAPTEE  287. 
OF  MEDICAL  EXAMII^EES  AND  CORONERS. 

Section  1.  The  governor  shall  appoint,  in  each  county,  able  and  dis- 
creet men,  learned  in  the  science  of  medicine,  to  be  medical  examiners  in 
such  county. 

Sec.  2.  The  number  of  medical  exammers  appointed  as  provided  in  the 
preceding  section  sliall  be  as  follows : 

For  the  county  of  Washuagton  five  examiners,  one  in  each  of  the  five 
following  districts,  viz. :  District  one,  composed  of  the  town  of  Westerly; 
district  two,  of  the  town  of  South  Kingstown;  district  three,  of  the  town 


APiM'N-nix.  303 

of  Ilopkintoii;  district  four,  of  tlu'  towns  of  North  Kiiif^stow  n  and  ilxttii: 
district  live,  of  tlie  towns  of  Ciiiirlcstown  and  IJicliniond. 

For  the  county  of  Kent  two  examiners,  one  in  eacii  of  tlie  two  fnili)wiii>,' 
districts,  vi/. :  Distrii-t  one,  coniiiosed  of  tlie  towns  of  West  (ireenwicii 
and  ("oveiitry;  <listrict  two,  of  tlie  towns  of  East  (Jreenwicli  and  Warwick. 

For  tlie  county  of  i'rovidence  eleven  examiners,  one  in  eacli  of  tlie  lirst 
nine  followitifj  districts,  and  in  district  ten  two  examiners,  viz.:  District 
one,  coniiHised  of  the  towns  of  Scituate  and  Foster;  district  two,  of  the 
towns  of  Cranston  and  Johnston;  district  three,  of  the  town  of  (llocester; 
district  four,  of  the  towns  of  Smithlield  and  North  Providence;  district 
five,  of  the  towns  of  Burrillville  and  Xortli  Smithfield;  district  six,  of  the 
city  of  Woonsocket;  district  seven,  of  the  town  of  Cumberland;  district 
eight,  of  the  cities  of  Paw^tucket  and  Central  Falls  and  the  town  of  Lin- 
coln; district  nine,  of  the  town  of  I'ilast  Providence:  district  ten,  of  the 
city  of  Providence. 

For  the  county  of  Bristol  two  examiners,  one  in  each  of  the  folhnvinp: 
districts,  viz.:  District  one,  composed  of  the  towns  of  IJarriiiifton  and 
Warren;  and  district  two,  of  the  town  of  liristol. 

*The  number  of  medical  examiners  for  the  county  of  Newport  shall  be 
five,  one  in  each  of  the  tirst  three  districts  and  two  in  district  four:  and 
said  districts  shall  be  composed  as  follows:  District  one,  of  the  towns  of 
Tiverton  and  J.ittle  Compton;  district  two,  the  town  of  Portsmouth;  dis- 
trict three,  the  town  of  New  Shoreham;  district  four,  the  city  of  Newjiort 
and  the  towns  of  Middletown  and  .Jamestown. 

Skc.  3.  If  either  of  the  medical  examiners  shall,  at  any  time,  from  any 
cause,  be  unable  to  perform  the  duties  of  his  said  ollice,  or  shall  be  deemed 
by  the  attoniey-peneral  for  any  cause  disqualified  therefor,  a  medical  ex- 
amin(>r  from  an  adjoiniui?  district  may  be  called  upon  to  perform  them. 

Si:c.  4.  Every  medical  examiner  shall  hold  his  ollice  for  the  term  of  six 
years,  and  until  another  is  appohited  and  qualilied  to  act  in  his  place,  un- 
less sooner  removed  by  the  appointment  of  some  other  i)eisoii  to  lill  his 
place. 

Si'X'.  .').  l-^very  medical  examiner  shall,  within  thirty  days  after  his  ap- 
pointment, and  before  enterhig  niton  the  duties  of  his  ollice,  give  bond 
with  surety  to,  and  to  the  satisfaction  of,  the  general  treasurer  in  the  sum 
of  oiu^  thousand  dollars  for  the  faithful  i)erf"ormance  of  his  duties, 

Skc  .  (i.  If  the  condition  of  any  such  bond  be  broken,  to  the  injury  of 
any  jierson,  actions  may  be  brought  iiiton  such  lioiid  as  upon  tlu'  ullicial 
V)onds  of  sherilTs. 

Sin'.  7.  Medical  exaiuiiieis  shall  make  examinations  as  hereinafter  pro- 
vided, upon  bodies  of  such  persons  only  as  are  supposed  to  have  come  to 
their  death  by  violence:    rrocided,  that  in  case  any  prisoner  in  the  state 

*As  amended  April  Ki,  It-Oti. 


S04  APPENDIX. 

prison  or  in  any  county  jail  dies  while  so  imprisoned,  it  shall  be  the  duty 
of  the  medical  examiner  of  the  district  in  which  such  prison  or  county 
jail  is  situated,  upon  being  notified  of  the  death  of  such  prisoner,  to  make 
at  once  an  examination  upon  the  body  of  such  deceased  prisoner. 

Sec.  8.  When  a  medical  examiner  has  notice  that  there  has  been  found, 
or  is  lying,  within  his  district  the  body  of  a  person  who  is  supposed  to 
have  come  to  his  death  by  violence,  he  shall  forthwith  repair  to  the  place 
where  such  body  lies  and  take  charge  of  the  same;  and  if,  on  view  there- 
of and  personal  inquiry  into  the  cause  and  manner  of  the  death,  he  deems 
a  further  examination  necessary,  he  shall,  iipon  being  thereto  authorized 
in  writing  by  the  attorney-general,  or  by  the  mayor  of  the  city  or  presi- 
dent of  the  town  council  of  the  town  where  such  body  lies,  make  an 
autopsy  in  the  presence  of  two  or  more  discreet  persons  as  witnesses,  and 
shall  then  and  there  carefully  reduce,  or  cause  to  be  reduced,  to  writing 
every  fact  and  circumstance  tending  to  show  the  condition  of  the  body 
and  the  cause  and  manner  of  death,  together  with  the  names  and  ad- 
dresses of  said  witnesses,  which  record  he  shall  subscribe^  Before  making 
such  autopsy  he  shall  call  the  attention  of  the  witnesses  to  the  position 
and  appearance  of  the  body. 

Sec.  9.  Should  the  medical  examiner  deem  it  advisable  to  have  present 
a  physician  as  one  of  the  witnesses  as  aforesaid,  such  physician  shall  also 
subscribe  the  record  made  by  the  medical  examiner,  and  for  such  service 
he  shall  receive  a  compensation  of  five  dollars. 

Sec.  10.  Town  councils  shall  select  a  suitable  person  to  act  as  coroner 
for  their  respective  towns,  to  hold  his  office  for  three  years  and  until 
another  is  elected  and  qualified  to  act  in  his  place,  unless  sooner  removed 
by  the  election  of  some  other  person  to  fill  his  place. 

Sec.  11.  The  coroners  so  elected  shall  have  exclusive  jurisdiction  as 
coroners  in  their  respective  towns. 

Sec.  12.  The  coroner  shall  appoint  in  writing,  under  his  hand  and  seal, 
one  or  more  discreet  persons  to  act  as  his  deputy  in  case  of  his  absence  or 
inability  to  act,  who  shall  have  all  the  powers  of  a  coroner,  and  be  subject 
to  like  pains  and  penalties,  for  malfeasance  in  office;  and  the  coroner  shall 
file  a  copy  of  the  appointment  in  the  town  clerk's  office  of  his  town. 

Sec.  13.  The  coroner  may  suspend  or  discharge  a  deputy.  The  sus- 
pension or  discharge  of  a  deiDuty  shall  be  in  writing,  addressed  to  the 
deputy;  and  the  coroner  shall  forthwith  file  a  duplicate  thereof  in  the 
town  clerk's  office  of  his  town. 

Sec.  14.  Every  coroner  and  deputy  coroner  shall,  before  entering  upon 
the  duties  of  his  oflice,  take  the  engagement  prescribed  in  section  five  of 
chapter  twenty-five. 

Sec.  15.  Whenever  the  coroner  has  notice  that  there  is  in  his  town 
any  person  who  has  been  injured  by  the  criminal  act,  omission,  or  care- 
lessness of  another,  and  that  said  person  believes  that  his  death  is  impend- 


MM'KNDl  \.  ;J05 

inp:  from  sucli  injury,  said  cnnMicr  may  Uikv  liu*  statfimMit  of  such  person 
coiK'eniinu:  tin'  manner  in  wliicli,  and  tiic  immsciii  by  whom,  such  injury  was 
inflicted;  and  the  statement  so  taken  siiali  !)»•  rfdiiccd  to  writing  and,  if 
practicable,  in  the  i)resence  of  the  injured  jterson. 

Si:(  .  Hi.  If,  upiin  sncli  view.  i)ersonal  iuiiuiry,  or  autopsy,  the  medical 
examiner  is  of  the  opinion  that  the  deatli  was  caused  by  the  act  or  neglect 
of  some  per.soii  other  than  tiie  deceased,  he  shall  at  once  notify  the  attorney- 
general,  and  coront'r  of  the  town  where  the  body  was  found,  or  in  wiiich 
it  lies,  and  shall  Die  a  duly  attestecl  copy  of  the  record  of  his  autopsy,  or 
view,  with  the  said  coroner  and  a  like  copy  with  the  attorney-general;  and 
shall  in  all  cases  certify  to  the  oflicer  having  the  custody  of  the  records  of 
deaths  in  the  town  in  which  the  deceased  came  to  his  deatii,  the  name  and 
residence  of  tlie  person  deceased,  if  known,  or  when  the  name  and  resi- 
dence cannot  be  ascertained,  a  dQScrii)tion  of  the  deceased,  as  full  as  pos- 
sibly may  be,  for  identification,  together  with  tlie  cause  and  manner  by 
and  in  which  he  came  to  his  (Icath. 

Sk(  .  17.  The  coroner  shall  thereupon  hold  an  incpiest,  whicli  may  be 
private;  in  which  case  any  or  all  persons,  other  than  those  required  to  be 
l)resent  by  the  provisions  of  this  chapter,  may  be  excluded  from  the  place 
where  such  hiquest  is  held,  and  such  coroner  may  also  direct  the  witnesses 
to  be  kept  separate  so  that  they  cannot  converse  with  each  other  until 
they  have  been  examined.  The  attorney-general,  or  some  person  designa- 
ted by  him,  may  attend  the  inquest  and  examine  all  witnesses  ;  and  tlie 
coroner  shall  cause  the  testimony  to  be  reduced  to  writing  and  signed  by 
the  witnesses.  The  attorney-general  may,  if  he  deem  it  necessary  or  ex- 
pedient, direct  an  inquest  to  be  held  in  the  case  of  any  casualty  from 
which  the  death  of  a  person  results. 

Skc.  is.  The  coroner  may  issue  summons  for  witnesses,  returnable  be- 
fore him.  The  persons  served  with  such  process  shall  be  allowed  the  same 
fees,  their  attendance  maybe  enforced  in  tlie  same  manner,  and  they  shall 
be  subject  to  the  same  penalties,  as  if  served  with  a  summons  in  behalf  of 
the  state  in  a  criminal  prosecution  pending  before  a  district  court. 

Sec.  11).  The  coroner  shall,  after  hearing  the  testimony,  draw  ui>  and 
sign  a  report,  in  which  he  shall  tind  and  certify  when,  where,  and  by  what 
means  the  person  deceased  came  to  his  death  ;  his  name,  if  known,  and 
all  material  circumstances  attending  his  death  ;  and  if  it  aitjiears  that  his 
death  resulted  wholly  or  in  part  from  the  unlawful  act  of  any  other  per- 
son, he  shall  further  state  the  name  of  such  person,  if  known  to  him.  and 
he  shall  lile  siich  report,  and  the  testimony  iiy  him  taken,  together  with  a 
coi)y  of  the  record  of  the  autt)psy  or  view,  in  the  otlice  of  the  clerk  of  the 
court  wherein  an  indictment  for  the  otVence  may  be  found. 

Ski'.  -20.  The  coroner  shall  hind  such  witnesses  as  he  deems  necessary, 
or  as  the  attorney-general  may  designate,  by  recognizance  in  a  reasonable 
sum,  with  suliicient  surety,  to  personally  appear,  at  such  time  as  the  cor- 


306  APPENDIX. 

oner  may  designate,  at  the  district  court  of  the  district  wherein  tlie  in- 
quest is  lield,  and  not  depart  therefrom  until  discharged  by  said  court ; 
and  if  any  such  witness  sliall  refuse  to  recognize  as  aforesaid,  the  coroner 
shall  commit  such  witness  to  the  jail  in  the  same  county,  there  to  remain 
until  he  shall  so  recognize  or  be  otherwise  discharged  according  to  law. 

Sec.  21.  If  the  report  of  the  coronor  shall  state  that  the  death  was 
caused  by  the  unlawful  act  or  by  the  gross  carelessness  of  any  other  per- 
son, and  by  whose  act  the  same  was  committed,  he  shall  immediately 
make  a  complaint  thereof  against  the  person  accused,  in  writipg  and  on 
oath,  to  the  justice  or  clerk  of  the  district  court  in  the  district  where  the 
offence  was  committed,  to  the  intent  that  the  person  killing  or  being  in 
any  way  criminally  uistrumental  to  the  death  may  be  apprehended  ;  but 
nothing  herein  contained  shall  be  so  construed  as  to  prevent  complaint 
being  made  at  any  time  before  the  finding  of  the  report.  And  the  coroner 
shall  forthwith,  in  writing,  notify  the  attorney-general  of  the  complaint 
aforesaid,  that  he  may  appear  by  himself  or  some  person  appointed  by  him, 
at  the  examination,  and  prosecute  the  complaint  in  behalf  of  the  state. 

Sec.  22.  If  a  medical  examiner  reports  that  a  death  was  not  caused  by 
the  act  or  neglect  of  some  person  other  than  the  deceased,  and  the  attor- 
ney-general is  of  a  contrary  opinion,  the  attorney-general  may,  notwith- 
standing such  report,  direct  an  inquest  to  be  held  in  accordance  with  the 
provisions  of  this  chapter ;  at  which  inquest  he,  or  some  other  person  des- 
ignated by  him,  shall  examine  all  the  witnesses. 

Sec.  23.  The  medical  examiner  may,  if  he  deem  it  necessary,  employ  a 
chemist  to  aid  in  the  examination  of  the  body,  or  of  substances  supposed 
to  have  caused  or  contributed  to  the  death  ;  and  such  chemist  shall  be  en- 
titled to  such  compensation  for  his  services  as  the  medical  examiner  cer- 
tifies to  be  just  and  reasonable,  the  same  being  audited  and  allowed  in  the 
manner  hereinafter  provided. 

Sec.  24.  When  a  medical  examiner  views  or  makes  an  examination  of 
the  dead  body  of  a  stranger,  he  shall  cause  the  body  to  be  decently  buried; 
and  if  he  certifies  that  he  has  made  careful  inquiry,  and  that  to  the  best 
of  his  knowledge  and  belief  the  person  found  dead  is  a  stranger,  having 
no  settlement  in  any  town  of  the  state,  his  fees,  with  the  actual  expense 
of  burial,  shall  be  paid  from  the  general  treasury.  In  all  other  cases  the 
expense  of  the  burial  shall  be  first  paid  by  the  town  wherein  the  body  is 
found,  and  such  town  may  recover  the  money  so  paid  from  the  town  where 
such  person  last  had  a  settlement :  Provided,  hotoever,  that  the  general 
treasurer,  or  any  town,  ultimately  paying  any  such  burial  expenses,  shall 
have  the  right  to  recover  such  burial  expenses  from  the  estate  of  the  de- 
ceased person. 

Sec.  25.  When  services  are  rendered  in  bringing  to  land  the  dead  body 
of  a  person  found  in  any  of  the  liarbors,  rivers,  or  waters  of  the  state,  the 
medical  examiner  may  allow  such  compensation  for  such  services  as  he 


Al'l'ENDIX.  307 

(l('(»iT)s  reasoiiiible;  l)ut  this  provision  sliiill  not  ciititlc  any  jxTson  to  (•()in- 
pcnsiition  for  scrvifi'S  rtMidcrcd  in  scairliiiif,''  ior  a  dead  body. 

Skc,  2(1.  In  all  cases  arisiu!,''  under  the  provisions  of  this  chapter,  tiie 
medical  examiner  shall  take  cliar^t'  of  any  money  or  other  jx'rsonal  proj)- 
erty  of  the  deceased,  found  upon  or  near  tiie  body,  and  shall  deliver  tlie 
same  to  the  i)erson  entitled  to  its  custody  or  possession;  or  if  not  claimed 
by  such  person  within  sixty  days,  then  to  an  administrator,  to  be  admin- 
istered upon  according  to  law. 

Sec.  27.  A  medical  examiner  who  fraudulently  neglects  or  refuses  to 
deliver  any  such  property  witlun  three  days,  after  demand  upon  him  there- 
for, shall  be  imprisoned  not  exceedhig  two  years  or  be  lined  not  exceeding 
live  hundred  dollars. 

Skc.  28.  The  fees  of  coroners  shall,  for  the  services  specified  in  this 
chapter,  be  as  follows,  namely:  For  receiving  and  filing  a  duly  attested 
copy  of  the  record  of  an  autopsy,  fifty  cents;  for  every  page  of  two  hun- 
dred words  of  written  testimony,  tliirty  cents;  for  each  day's  attendance 
in  holding  the  inquest,  five  dollars;  for  the  recognizance  of  witnesses, 
thirty-five  cents;  and  for  drawing  up  and  filing  a  report  in  court,  five 
dollars.  Said  fees  having  been  audited  by  the  state  auditor,  upon  certifi- 
cate of  the  attorney-general,  shall  be  paid  by  the  general  treasurer. 

Sec.  20.  Each  medical  examiner  shall  receive  fees  as  follows :  For  a  view 
without  an  autopsy,  four  dollars;  for  a  view  and  an  autopsy,  thirty  dollars; 
and  for  travel,  at  the  rate  of  ten  cents  a  mile  to  the  place  of  view.  He 
siiall  also  have  power,  in  case  of  an  autopsy,  to  employ  a  clerk  at  an  ex- 
pense not  exceeduig  three  dollars  per  day  for  each  day's  actual  service. 

Sec.  ?,0.  Every  medical  examiner  shall  return  an  account  of  the  ex- 
penses of  each  view  or  autopsy,  including  his  fees,  to  the  state  auditor, 
and  shall  annex  to  his  return  the  written  authority  under  whicli  the 
autopsy  was  made.  The  state  auditor  shall  audit  such  account  and  certify 
to  the  general  treasurer  what  items  in  such  accoimt  are  deemed  just  and 
reasonable,  and  such  items  shall  be  paid  by  said  treasurer  to  the  persons 
entitled  to  receive  the  same. 

Sec.  31.  Medical  examhiers  shall,  in  tlie  books  provided  by  the  secretary 
of  state,  keep  a  record  of  all  views  of  bodies  found  dead,  together  with 
their  view  and  autopsy  reports,  and,  on  the  first  of  January,  April,  July, 
and  October,  shall  forward  to  the  secretary  of  the  state  board  of  health 
attested  copies  of  such  records  of  views,  together  with  the  view  reports 
and  conclusions  from  autopsies.  Should  the  commission  of  service  of  a 
medical  examiner  expire  before  the  end  of  a  quarter,  the  said  examiner 
shall  at  once  forward  to  the  said  secretary  of  the  state  board  of  health  the 
records  and  reptn-ts  of  all  cases  unreported  at  date  of  expiration  of  said 
service. 

Sec.  82.  For  each  and  every  copy  of  said  records  and  n'ports  forwarded 
to  the  said  secretary  of  the  state  board  of  health,  medical  examhiers  shall 
33 


308  APPENDIX. 

receive  twenty-five  cents,  which  shall  be  paid  by  the  state  upon  the  voucher 
of  said  secretary  of  the  state  board  of  health  that  such  copy  of  reports 
and  records  have  been  received  by  him. 

Sec.  33.  The  secretary  of  the  state  board  of  health  shall  cause  the  re- 
turns received  by  him  for  each  year,  in  accordance  with  this  chapter,  to 
be  bound  together  with  an  index  thereto;  the  state  registrar  shall  prepare 
or  cause  to  be  prepared  from  the  said  returns  such  tabular  results  as  will 
render  them  of  practical  utility,  and  shall  make  report  thereof  annually 
in  connection  with  the  report  of  births,  marriages,  and  deaths  required  by 
chapter  one  hundred. 


INDEX. 

See  Also  Contents,  Page  V. 


Aecidents 20,  21,  :35,  :'.(i,  c.:;,  lc>--<\  i;il'.  id.-) 

"        and  occupations '.(2-107 

"        form  of,  for  thirty-three  years 105 

Ages  at  time  of  death ;  disease  and  sex ;'.,  5,  3.")-4!» 

Alcoliolism 21,  -m,  54,  OS-71,  I'.KJ 

Apoplexy 21,  :!U,  5.'),  (iS-71,  i(i7-i'.t;i 

Birth,  by  towns ='.  •"» 

"      colored l-'-t.  l-'"* 

"      comparative  number  by  towns ii.").  ii<". 

"      diagram  of 124,  1 25 

"      forty-five  years 1  !•'• 

"      illegitimate 143,  144 

"      laws  govenihig  the  registration  of 20:5-207 

"      ages  of  father  and  mother i:'>7 

"      number  of  child  of  mother 1:5<> 

"      parentage 132,  138 

"      plural 8,  138-139 

"      proportion  of,  to  population 1  IS,  119,  121 

"  for  tliirty  years 121 

"      rates  in  towns 1  is,  110 

"      season 130,  131 

"      sex  and  localities 12S-130 

"        "    for  thirty-live  years 127-12S 

"      still-l)oni 140,  141.  142 

r.rain.  diseases  of -'2.  37.  5.5.  (;s-71.  \W,  2(m.  201 

Jironchitis 22,  :">7,  5(i,  72-7.5,  loo,  202,  203 

Cancers 22,  23,  37,  38,  54.  55.  70-73,  190.  204.  205 


310  INDEX. 

Causes  of  death,  alphabetically  arranged 20-49 

"  "        nosologically  arranged,  forty-six  years 64-79 

"  "  "  "  in  divisions  of  the  State.  ...50-63 

Childbirth 24,  39,  61,  62,  76-79,  206,  207 

Cholera  infantum 25,  40,  61,  72-75,  208,  209 

Comparative  statistics  and  comments 189-261 

Deaths,  1898 3 

"        by  counties 5 

"        causes  of 20-49 

"  "  for  each  of  forty-six  years 64-79 

"  "  in  alphabetical  order,  months 20-34 

"      ages 35-49 

"  "  thirteen  principal,  order,  number,  and  proportion 187 

"        twenty-six  principal  diseases  in  1898 190,  191 

"       twenty  principal  diseases  in  1898  :  diagram 275 

"        causes  unknown 185,  186 

"        classification  and  percentage  :  table 50-63 

"        diagram  of 182-183 

"       per  1,000  living,  by  counties 18,  19,  167 

"       proportion  of,  to  population 118,  120,  121 

"  '  "  "         for  thirty  years 121 

"        rates  of,  in  towns  and  counties 12-19,  118,  120 

"        seasons 10,  11,  170,  171 

sex 168 

"        summary,  forty-five  years 113 

Decedents,  ages  :  tables 163-177 

"  colored 177-179 

"  comparison  with  births 168-169 

"  occupations  and  ages  :  table 80-90 

"  "  "    causes  of :  table 92-110 

"  parentage 172 

"  season 170,  171 

"  sex  and  age 173 

Divorces,  law  governing  registration  of 301 

"        statute  cavises 300 

Dropsy 25,  40,  244 

"      compared  with  diseases  of  kidney  and  liver 245 


INDEX.  311 

Fevers,  nmlarial 2(S,  41,  .");{,  rW-Tl,  liii.'. 

"       tyi)li()id,  etc 2<;,  41,  :.:;,  <;s  71,  •2-2i\-22s 

"  "        percentage  in  dilTereiit  States ii2!» 

Ih'ait,  diseases  of 27,  42,  :>(>,  (;s-7l,  ]<i(»,  ^.M)  -I'.U 

Illegitimates 1 4:!,  1 44 

Intlueiiza 2S,  43,  5:5,  08-71,  1!»(),  2:54-2:!7 

Insanity 28,  43,  55,  68-71,  237-239 

Intemperance  (alcoholism,  delirium  tremens) 21,  30,  54,  08-71,  100,  100 

Kidney,  diseases  of 28,  43,  58,  50,  72-75,  100,  240,  241,  245 

Bright's  disease  of 28,  43,  50,  72-75 

I>aryugitis 28,  43,  50,  72-75 

Laws  in  relation  to  registration  of  birtlis,  marriages,  and  deaths. .  .203-2ii7 

divorce 300-302 

"      of  marriage 20s-2!t!t 

"      in  relation  to  medical  examiners  and  coroners 302-307 

Liver,  diseases  of 28,  20,  43,  44,  58   08-71,  72-75,  100,  242,  243,  245 

Malarial  diseases,  fevers 20,  20,  41,  44,  53,  225 

Marriages,  1808 2,  4,  0,  145-150 

"          ages  of  persons  married 150-155 

"  colored 157 

"  comparative  number  by  towns 115-117 

"  denominational 140 

"  and  education 1 50 

"  laws  governing  registration  of 203-207 

"  "     synopsis  of 208-200 

"  nativity  of 2,  4,  147-148 

"  of  the  divorced 158,  150 

"  rates  in  towns 118 

"  season 0,  147 

"  times  married 150,  157 

"  forty-live  years 1 13,  1 14 

"  widowers  and  widows 150.  157 

"  proportion  of  to  population 118-120 

for  thirty  years 121 

Measles 20,  44,  52,  08-7 1 ,  240,  J47 

Mother,  number  of  child  of 1;;5-137 

Nomenclature  of  diseases 281-202 


312  INDEX. 

Occupation  and  ages  at  death 80-91 

"  "    causes  of  death 92-110 

"  "    ages  of  decedents  for  forty-six  years 269-273 

Old  age 30,  45,  62,  ^e-TO,  92,  190,  248,  249 

Paralysis  (apoplexy) 21,  36,  55,  68-71,  190,  197-199 

Peritonitis 30,  45,  250 

Physicians'  certificates  concerning  death 283 

Pneumonia 31,  46,  53,  68-71,  92,  190,  250-252 

Population,  proportion  of  births,  marriages,  and  deaths  to 118 

"  geometrically  estimated  for  thirty  years 121 

Puerperal  fever 24,  39,  53,  68-71,  206 

Eetums  of  medical  examiners 277-279 

Results,  comparative,  twenty- three  years 260-261 

Eheumatism 31,  46,  55,  68-71,  92,  190 

Scarlet  fever 32,  47,  52,  68-71,  190,  253-255 

"  diphtheria  and  croup,  by  season 254 

Still-bom  children 72-75,  140-142 

"        forty-five  years 113,  114 

Suicide 32,  33,  47,  48,  63,  64,  67,  76-79,  92,  256,  257 

Whooping  cough  (pertussis) 31,  46,  53,  68-71,  190,  258,  259 


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